go back

Indiana 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
$25.22 / $116.06 / $153.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.78 / $39.97 / $65.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.31 / $65.78 / $91.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.42 / $61.66 / $68.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.88 / $59.85 / $80.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.68 / $75.78 / $103.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.89 / $82.67 / $103.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $67.14 / $76.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $67.14 / $82.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $50.00 / $71.72