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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
$30.20 / $52.48 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $57.54 / $223.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $67.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $69.18 / $107.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $48.98 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $52.48 / $83.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $58.88 / $69.18