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Kansas 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.84 / $890.84 / $890.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.04 / $583.65 / $890.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.84 / $806.84 / $806.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.29 / $1,092.45 / $1,158.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.34 / $1,084.34 / $1,084.34
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 / $702.03 / $1,566.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.04 / $867.00 / $5,034.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.20 / $536.70 / $1,374.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.27 / $534.90 / $718.81