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Alabama rates for HCPCS L1820

Knee orthosis (KO), elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.75 / $131.75 / $131.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.37 / $96.56 / $131.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.55 / $109.55 / $175.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.66 / $108.66 / $108.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.80 / $96.73 / $171.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.61 / $96.73 / $149.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.58 / $72.88 / $109.78