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Rhode Island 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
$840.69 / $1,075.90 / $1,141.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,720.41 / $3,674.30 / $4,349.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.23 / $1,256.74 / $1,740.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $1,186.93 / $1,186.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.46 / $1,186.93 / $1,186.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.43 / $1,028.51 / $1,599.86