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West Virginia 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
$944.87 / $944.87 / $944.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.81 / $904.30 / $944.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.21 / $2,469.06 / $3,200.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.80 / $1,318.38 / $2,260.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.93 / $1,186.93 / $2,287.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.46 / $1,186.93 / $9,588.09
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
$749.04 / $977.63 / $1,520.72