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Arizona rates for HCPCS L1831

Knee orthosis (KO), locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.44 / $190.25 / $312.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.87 / $328.28 / $593.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.17 / $302.89 / $412.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.94 / $197.94 / $197.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.50 / $144.50 / $411.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.03 / $231.26 / $1,651.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.69 / $158.03 / $238.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.84 / $158.03 / $238.07