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Ohio rates for HCPCS L1850

Knee orthosis (KO), Swedish type, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.80 / $119.80 / $538.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.80 / $121.22 / $177.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.66 / $246.79 / $639.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.45 / $189.89 / $347.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.26 / $224.35 / $306.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.05 / $220.40 / $480.38
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 / $156.91 / $214.95
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.95 / $214.95 / $214.95
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $214.95 / $214.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.61 / $200.22 / $262.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.16 / $169.72 / $225.99