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Indiana rates for HCPCS L1836

Knee Orthosis Rigid Without Joint(S) Includes Soft Interface Material Prefabricated Off-The- Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.77 / $56.77 / $97.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.01 / $56.77 / $65.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.95 / $87.18 / $97.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.41 / $84.10 / $113.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.75 / $107.15 / $146.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.80 / $107.15 / $131.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.68 / $76.68 / $97.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.98 / $76.68 / $124.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.52 / $77.62 / $108.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.77 / $76.84 / $107.82