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Nationwide rates for HCPCS L1843

Knee Orthosis Single Upright Thigh And Calf With Adjustable Flexion And Extension Joint (Uni- Centric Or Polycentric) Medial-Lateral And Rotation Control With Or Without Varus/Valgus Adjustment Prefabricated Item That Has Been Trimmed Bent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.54 / $557.16 / $731.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.19 / $580.03 / $751.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.16 / $1,129.57 / $2,110.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.00 / $565.54 / $845.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.03 / $702.03 / $702.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.48 / $684.30 / $748.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.10 / $526.41 / $792.96