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Maryland 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
$29.89 / $50.52 / $120.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.02 / $48.03 / $81.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.00 / $56.00 / $56.00
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 / $49.01 / $67.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.68 / $68.11 / $102.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.27 / $52.15 / $82.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.77 / $59.04 / $69.54