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Pennsylvania 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
$37.15 / $144.54 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $69.18 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $77.62 / $100.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $87.10
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $102.33 / $147.91
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $54.95 / $77.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $72.44 / $77.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $144.54 / $245.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $67.61 / $158.49
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $151.36 / $269.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $47.86 / $151.36
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $81.28 / $100.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $81.28 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $125.89 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $56.23 / $95.50