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Washington rates for HCPCS L1836

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

Facilitymedian $126 · 10th–90th $81–$2630%10%10th90th$126Professionalmedian $78 · 10th–90th $56–$2000%10%20%10th90th$78$1.0$5.0$20.0$100.0$500.0

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
$77.62 / $77.62 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $77.62 / $117.49
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $128.82
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $77.62 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $75.86
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $181.97 / $331.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $173.78 / $251.19
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $120.23 / $131.83
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $89.13 / $125.89
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $125.89 / $181.97
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $100.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $100.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $79.43 / $114.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $169.82 / $169.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $72.44 / $120.23
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $75.86 / $134.90