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Nevada 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
$815.66 / $815.66 / $941.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.54 / $815.66 / $955.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,388.46 / $2,388.46 / $2,388.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.00 / $1,095.47 / $2,388.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.93 / $1,186.93 / $1,683.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.46 / $1,161.42 / $1,452.03
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.20 / $1,910.78 / $3,105.01
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
$811.46 / $1,282.10 / $2,149.62