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New York rates for HCPCS L1836

Knee orthosis (KO), rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf

Facilitymedian $105 · 10th–90th $68$1860%20%10th90th$105Professionalmedian $83 · 10th–90th $54$1660%20%40%10th90th$83$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$52.48 / $125.89 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $69.18 / $117.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $199.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $87.10 / $218.78
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $117.49 / $117.49
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $138.04
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $162.18 / $380.19
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $104.71 / $186.21
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $112.20
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $95.50 / $104.71
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $93.33 / $125.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $83.18 / $275.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $87.10 / $165.96
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $104.71 / $112.20
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $95.50 / $104.71