go back

Arizona 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
Professional
Modifier
Low / Median / High Price
$932.18 / $955.39 / $1,649.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.05 / $2,265.27 / $4,095.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,567.65 / $2,090.19 / $2,847.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.93 / $1,186.93 / $1,186.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.46 / $866.46 / $2,127.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.95 / $1,599.56 / $9,309.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.92 / $893.69 / $1,346.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,193.78 / $1,193.78 / $1,193.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.73 / $893.69 / $1,346.21