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Kansas 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
$878.81 / $878.81 / $878.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.63 / $575.77 / $878.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.29 / $881.88 / $935.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.34 / $875.34 / $875.34
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 / $1,642.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.63 / $855.31 / $5,476.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.53 / $529.46 / $1,355.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,173.99 / $1,173.99 / $1,381.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.53 / $529.46 / $740.36