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California rates for HCPCS L1830

Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.47 / $86.14 / $379.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.59 / $59.19 / $267.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.63 / $60.35 / $69.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.95 / $98.27 / $231.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.88 / $59.85 / $71.83
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.60 / $155.57 / $277.80
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.03 / $142.05 / $332.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.79 / $67.14 / $76.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $49.01 / $76.52
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.37 / $70.23 / $84.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.06 / $72.31 / $163.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.60 / $340.47 / $340.47
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.72 / $628.42 / $628.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.68 / $183.68 / $183.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.74 / $61.52 / $105.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $63.44 / $74.77
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.04 / $248.04 / $248.04
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.22 / $70.23 / $91.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.67 / $49.17 / $115.71