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Indiana rates for HCPCS L1812

Knee orthosis (KO), elastic with joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.29 / $44.29 / $76.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.82 / $46.00 / $71.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.72 / $77.81 / $108.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.40 / $68.42 / $76.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.13 / $73.92 / $114.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.11 / $84.10 / $114.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.45 / $91.74 / $114.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.45 / $84.97 / $87.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.03 / $84.97 / $97.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $61.33 / $87.79