go back

Colorado 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
$384.37 / $532.58 / $1,363.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.45 / $532.58 / $794.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.04 / $1,068.58 / $1,940.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.09 / $557.09 / $601.66
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 / $461.73 / $985.32
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.57 / $532.58 / $1,188.80
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.57 / $296.57 / $296.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.26 / $1,146.00 / $1,883.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.12 / $459.39 / $692.00