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Kentucky rates for HCPCS L1840

Knee Orthosis Derotation Medial-Lateral Anterior Cruciate Ligament Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.54 / $580.49 / $601.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.70 / $580.49 / $608.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.05 / $1,129.40 / $1,187.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.23 / $606.60 / $656.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.05 / $1,586.28 / $1,922.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.93 / $1,411.75 / $1,863.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.96 / $732.96 / $1,345.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.05 / $717.22 / $5,640.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.21 / $719.78 / $899.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.63 / $522.64 / $744.55