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Indiana rates for HCPCS L1848

Knee orthosis (KO), double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.00 / $343.00 / $693.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.81 / $344.26 / $372.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.47 / $620.24 / $693.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.43 / $392.47 / $545.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.59 / $762.30 / $1,039.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.04 / $762.30 / $935.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.50 / $437.50 / $693.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.38 / $437.50 / $710.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.90 / $334.59 / $485.42