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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
$17.38 / $38.90 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $52.48 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $67.61 / $114.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $70.79 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $60.26 / $107.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $87.10 / $104.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $87.10 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $67.61 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $81.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $54.95 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $50.12 / $72.44