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Nevada 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
$360.34 / $360.34 / $415.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.37 / $415.77 / $580.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.16 / $1,055.16 / $1,055.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.00 / $584.04 / $1,287.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.03 / $702.03 / $776.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.48 / $684.30 / $748.40
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.77 / $844.13 / $1,371.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.25 / $481.81 / $705.03