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Washington rates for HCPCS L1840

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

Facilitymedian $1,202 · 10th–90th $813$2,7540%20%10th90th$1,202Professionalmedian $813 · 10th–90th $513$1,6980%20%10th90th$813$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $616.60 / $1,047.13
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,174.90 / $1,174.90
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $741.31
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $1,445.44 / $3,388.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,412.54 / $2,398.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $831.76 / $1,000.00
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,174.90 / $1,202.26
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,202.26 / $1,202.26
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,737.80 / $2,398.83
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,174.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,174.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,348.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $1,412.54 / $1,698.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $562.34 / $977.24
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,047.13 / $1,819.70