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Georgia 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
$891.25 / $891.25 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $933.25 / $1,698.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $4,570.88 / $7,079.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,548.82 / $2,454.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $2,137.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,905.46 / $2,691.53
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,570.40 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $891.25 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $912.01 / $1,698.24