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Kansas 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
$1,877.21 / $1,877.21 / $1,877.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.95 / $1,229.89 / $1,877.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.63 / $1,456.45 / $1,549.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.40 / $1,558.40 / $1,558.40
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 / $1,186.93 / $2,658.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.95 / $1,826.97 / $9,309.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.79 / $1,095.67 / $2,896.14
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
$595.79 / $1,063.04 / $1,514.70