go back

Maryland 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
$748.54 / $840.69 / $1,429.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.00 / $981.00 / $1,250.24
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.25 / $1,828.93 / $2,633.66
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 / $912.43 / $1,454.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.14 / $1,073.21 / $1,280.25