go back

Missouri rates for HCPCS L1844

Knee Orthosis 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
$1,186.74 / $1,186.74 / $1,581.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.06 / $1,229.89 / $1,877.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,266.94 / $2,380.29 / $10,464.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.00 / $1,095.47 / $1,834.05
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 / $1,265.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.72 / $1,826.97 / $9,309.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.97 / $1,130.95 / $2,755.46
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
$753.97 / $1,074.40 / $1,638.91