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Idaho rates for HCPCS L1843

Knee orthosis (KO), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric 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

Facilitymedian $1,000 · 10th–90th $525–$1,2880%20%40%10th90th$1,000Professionalmedian $692 · 10th–90th $447–$1,1750%10%10th90th$692$50.0$100.0$200.0$500.0$1.0K$2.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $630.96 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,000.00 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $707.95 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $707.95
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $1,023.29 / $1,174.90
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $977.24 / $1,071.52
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $912.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,023.29 / $1,023.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $1,122.02
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,071.52 / $1,122.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $549.54 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $478.63 / $707.95