go back

Connecticut 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
$935.18 / $935.18 / $935.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.61 / $872.53 / $955.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,491.19 / $1,924.12 / $2,201.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.47 / $1,095.47 / $1,143.14
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 / $1,186.93
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.68 / $1,250.68 / $1,250.68
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.30 / $1,250.68 / $1,694.64
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.52 / $1,475.52 / $1,475.52
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
$732.56 / $959.92 / $1,599.86