Knee orthoses elas w stays

Payers reporting HCPCS L1800

Payer pricing summary

Low

$22

Average

$277

Median

$63

High

$1.7k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	10	$251	$222	$51	23%	—	$111 – $270
2	Cigna professional · percent of total billed charges · bothfrom % of charges · +3 other terms	9	$47	$45	$6	14%	—	$30 – $56
3	First Health professional · percent of total billed charges · bothfrom % of charges · +2 other terms	6	$55	$57	$6	10%	—	$55 – $70
4	MultiPlan professional · percent of total billed charges · bothfrom % of charges · +2 other terms	5	$51	$50	$6	11%	—	$43 – $56
5	Caresource professional · percent of total billed charges · bothfrom % of charges	4	$27	$27	—	—	—	$27 – $27
6	Anthem facility · fee schedule · outpatient · +2 other terms	3	$56	$76	$28	37%	—	$56 – $115
7	Wellmark facility · per diem · inpatient	3	$1.8k	$1.7k	$934	55%	—	$928 – $3.0k
8	Ambetter professional · percent of total billed charges · bothfrom % of charges	2	$47	$47	—	—	—	$47 – $47
9	Kaiser fee schedule · both	2	$113	$113	—	—	—	$113 – $113
10	Molina percent of total billed charges · outpatientfrom % of charges · +1 other terms	2	$41	$35	$25	72%	—	$14 – $89
11	Phcs professional · percent of total billed charges · bothfrom % of charges	2	$55	$55	—	—	—	$55 – $55
12	Aetna per diem · inpatient · +4 other terms	1	$4.0k	$4.0k	—	—	—	$4.0k – $4.0k
13	Aetna Better Health percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$22	$22	$5	21%	—	$17 – $26
14	Healthcare Highways percent of total billed charges · outpatientfrom % of charges	1	$40	$40	—	—	—	$40 – $40
15	Humana per diem · inpatient · +2 other terms	1	$4.0k	$4.0k	—	—	—	$4.0k – $4.0k
16	Medica fee schedule · outpatient	1	$49	$49	—	—	—	$49 – $49
17	Medicaid percent of total billed charges · bothfrom % of charges	1	$74	$74	$24	32%	—	$47 – $104
18	Optum percent of total billed charges · bothfrom % of charges	1	$97	$97	$7	7%	—	$90 – $104
19	Superior Healthplan other · both · +2 other terms	1	$67	$67	$41	61%	—	$26 – $109
20	UnitedHealthcare fee schedule · both · +7 other terms	1	$67	$67	$41	61%	—	$26 – $109
21	WellCare other · both · +2 other terms	1	$66	$66	$40	61%	—	$26 – $106

← Hospitals reporting HCPCS L1800 · Snapshot 20261113T090226Z-3ce6c0b8