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Pennsylvania 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
$45.71 / $204.17 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $58.88 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $69.18 / $91.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $91.20 / $131.83
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $48.98 / $69.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $165.96 / $416.87
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $64.57 / $74.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $199.53 / $346.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $58.88 / $181.97
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $138.04
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $169.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $74.13 / $79.43
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $74.13 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $151.36 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $52.48 / $91.20