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Washington, DC 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
$748.54 / $748.54 / $748.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.54 / $748.54 / $748.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.00 / $981.00 / $1,250.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.46 / $866.46 / $866.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.80 / $1,188.80 / $3,630.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.29 / $912.43 / $1,370.93