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Florida 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
$467.93 / $518.57 / $594.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.93 / $575.97 / $988.94
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 / $717.22
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.16 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.24 / $793.66 / $1,129.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.91 / $624.49 / $686.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,381.17 / $1,381.17 / $1,381.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.17 / $558.41 / $741.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.49 / $624.49 / $624.49