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Ohio 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
$33.64 / $51.49 / $130.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.78 / $44.41 / $81.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.31 / $65.78 / $114.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.69 / $75.78 / $196.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.88 / $56.21 / $103.33
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.55 / $74.55 / $74.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.92 / $75.78 / $102.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.67 / $86.11 / $124.08
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 / $76.52
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.53 / $67.14 / $91.84
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $67.14 / $69.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.50 / $58.44 / $76.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $49.17 / $73.98