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Nationwide rates for HCPCS L1845

Knee orthosis (KO), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $602.56 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $549.54 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $575.44 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $575.44 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $537.03 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $524.81 / $831.76