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Nationwide rates for HCPCS L1844

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, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,000.00 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $977.24 / $1,659.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,122.02 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,122.02 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $6,918.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,174.90 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $912.01 / $1,513.56