go back

Alaska 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

Facilitymedian $631 · 10th–90th $295–$9770%20%40%10th90th$631Professionalmedian $603 · 10th–90th $501–$1,5850%20%10th90th$603$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $575.44 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $1,096.48
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $812.83 / $933.25
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $933.25 / $2,951.21
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $912.01 / $954.99
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $912.01 / $954.99
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $977.24
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $630.96 / $912.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $707.95 / $2,344.23