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Indiana rates for HCPCS L1832

Knee Orthosis Adjustable Knee Joints (Unicentricor Polycentric) Positional Orthosis Rigid Support Prefabricated Item That Has Been Trimmedbent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.76 / $410.76 / $829.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.96 / $411.37 / $486.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.63 / $742.77 / $829.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.87 / $414.84 / $572.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.93 / $912.90 / $1,244.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.42 / $912.90 / $1,120.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.00 / $460.00 / $829.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.80 / $460.00 / $753.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.80 / $397.49 / $547.94