go back

Colorado 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
$580.09 / $580.09 / $580.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.67 / $580.09 / $958.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.88 / $1,163.91 / $2,113.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.91 / $656.91 / $656.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.96 / $732.96 / $732.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.05 / $535.05 / $1,313.63
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.63 / $580.09 / $1,303.19
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.63 / $333.63 / $333.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.19 / $1,294.84 / $2,051.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.24 / $516.79 / $778.47