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Indiana rates for HCPCS L1831

Knee orthosis (KO), locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.51 / $175.51 / $354.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.76 / $178.81 / $190.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.14 / $317.38 / $354.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.00 / $198.35 / $273.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.38 / $390.07 / $531.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.42 / $390.07 / $478.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.94 / $197.94 / $354.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.50 / $197.94 / $363.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.36 / $169.52 / $238.12