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Kentucky 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
$651.15 / $968.03 / $1,003.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.64 / $968.03 / $1,003.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.42 / $1,883.40 / $1,979.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.00 / $1,049.00 / $1,095.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.55 / $2,568.73 / $3,017.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,789.23 / $2,293.51 / $3,107.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.93 / $1,186.93 / $2,287.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.46 / $1,186.93 / $9,588.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.27 / $1,200.33 / $1,500.42
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
$626.40 / $912.43 / $1,506.72