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Idaho 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
$912.01 / $1,288.25 / $2,089.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,238.72 / $3,467.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,630.27 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,174.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,862.09 / $2,398.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,290.87 / $2,398.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $2,041.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,290.87 / $2,290.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $2,630.27
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,398.83 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,047.13 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $891.25 / $1,258.93