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Florida 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
$780.33 / $864.78 / $990.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.54 / $910.29 / $1,649.17
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
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.40 / $1,156.59 / $1,156.59
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.23 / $1,165.00 / $1,883.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.15 / $614.08 / $675.48
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
$757.43 / $920.00 / $1,282.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.08 / $614.08 / $1,073.21