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Kentucky rates for HCPCS L1850

Knee Orthosis Swedish Type Prefabricated Off- The- Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.88 / $137.96 / $143.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.80 / $132.76 / $169.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.44 / $244.89 / $257.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.66 / $189.89 / $197.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.67 / $330.60 / $404.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.16 / $293.87 / $404.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.95 / $214.95 / $302.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $214.95 / $1,129.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.46 / $206.67 / $258.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.85 / $161.78 / $219.27