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New York 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
$42.91 / $52.67 / $97.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.91 / $58.70 / $117.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.33 / $155.33 / $167.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.59 / $77.09 / $151.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.04 / $71.04 / $189.32
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.56 / $90.93 / $90.93
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.93 / $90.93 / $90.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.97 / $84.97 / $87.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.03 / $62.03 / $87.14
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.59 / $170.08 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.87 / $62.49 / $136.06
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.75 / $71.75 / $71.75
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.75 / $76.54 / $81.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.53 / $165.53 / $165.53
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.26 / $82.26 / $82.26
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.59 / $84.97 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.03 / $74.80 / $112.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.25 / $61.34 / $104.31
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.54 / $76.54 / $76.54
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.75 / $76.54 / $81.31