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Nationwide rates for HCPCS L1845

Knee Orthosis 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 (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.48 / $565.69 / $701.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.64 / $541.40 / $762.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.27 / $1,102.60 / $1,940.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.09 / $557.09 / $767.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.51 / $632.51 / $632.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.73 / $632.51 / $741.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.60 / $495.53 / $790.77