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California rates for HCPCS L1840

Knee orthosis (KO), derotation, medial-lateral, anterior cruciate ligament, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.15 / $622.15 / $3,985.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.34 / $622.15 / $3,985.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.45 / $1,946.34 / $4,384.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.74 / $656.91 / $1,053.75
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $1,635.17 / $2,919.95
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $1,832.58 / $4,268.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.55 / $732.96 / $738.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.05 / $535.05 / $1,313.63
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.72 / $786.86 / $1,519.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.70 / $966.82 / $2,099.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.06 / $6,560.56 / $6,560.56
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,629.62 / $6,629.62 / $8,743.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,609.28 / $2,609.28 / $2,609.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.63 / $1,173.99 / $1,381.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.05 / $535.05 / $1,173.99
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,606.91 / $2,606.91 / $2,606.91
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.72 / $1,104.94 / $1,104.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,173.99 / $1,381.17 / $1,381.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.24 / $516.79 / $1,310.81