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Pennsylvania rates for HCPCS L1830

Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Facilitymedian $200 · 10th–90th $46$3470%20%10th90th$200Professionalmedian $59 · 10th–90th $35$1740%10%20%10th90th$59$0.1$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $204.17 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $58.88 / $213.80
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $67.61 / $97.72
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $549.54 / $724.44
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $61.66
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $67.61
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $91.20 / $131.83
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $48.98 / $69.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $208.93 / $426.58
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $64.57 / $74.13
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $275.42 / $724.44
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $69.18 / $346.74
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $51.29 / $83.18
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $169.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $74.13 / $79.43
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $74.13 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $151.36 / $169.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $52.48 / $95.50