go back

Vermont rates for HCPCS L1812

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.21 / $59.25 / $69.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.58 / $73.58 / $73.58
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 / $84.97 / $90.58
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.97 / $84.97 / $87.14
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.03 / $84.97 / $90.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.74 / $77.48 / $140.22