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Ohio rates for HCPCS L1850

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

Facilitymedian $245 · 10th–90th $158$4070%20%10th90th$245Professionalmedian $166 · 10th–90th $120$2690%20%10th90th$166$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $194.98 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $141.25 / $208.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $245.47 / $489.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $208.93 / $346.74
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $208.93 / $295.12
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $218.78 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $213.80
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $213.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $208.93 / $302.00
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $354.81 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $186.21 / $346.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $162.18 / $245.47