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North Carolina 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
$1,649.17 / $1,649.17 / $2,844.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.26 / $1,649.17 / $1,649.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,715.76 / $2,793.74 / $3,440.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.54 / $1,412.55 / $1,412.55
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 / $2,127.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.95 / $1,649.17 / $2,143.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.00 / $1,059.00 / $1,280.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,940.42 / $2,401.34 / $3,223.11
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
$717.06 / $939.61 / $1,362.43
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,983.85 / $11,345.23 / $11,345.23
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,732.79 / $11,732.79 / $13,815.00