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Texas 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
$839.61 / $872.53 / $1,308.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.61 / $872.53 / $1,599.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.76 / $894.76 / $1,119.48
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,880.12 / $1,880.12 / $1,880.12
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,309.60 / $11,345.23 / $11,345.23
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,732.79 / $11,732.79 / $13,815.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.95 / $1,300.83 / $1,880.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.95 / $1,692.11 / $2,370.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,725.95 / $1,974.13 / $3,290.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.95 / $1,256.23 / $1,880.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.46 / $866.46 / $1,265.32
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
$744.74 / $1,076.97 / $1,282.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.21 / $1,095.47 / $1,880.12