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Pennsylvania 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
$139.16 / $1,949.48 / $1,949.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.08 / $411.37 / $1,739.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.82 / $597.55 / $597.55
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.69 / $796.75 / $796.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.00 / $460.00 / $913.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.80 / $335.80 / $799.66
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.18 / $913.24 / $1,735.16
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.24 / $167.10 / $4,610.09
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.73 / $557.73 / $637.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.31 / $362.77 / $3,004.32
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.90 / $411.37 / $1,390.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.80 / $1,132.30 / $1,479.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.00 / $460.00 / $913.24
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.80 / $335.80 / $962.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.00 / $758.36 / $758.36
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.00 / $758.36 / $869.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.61 / $401.33 / $696.14