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Florida 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
$470.11 / $520.98 / $596.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.15 / $541.40 / $993.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.08 / $737.52 / $1,021.19
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 / $638.86
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.11 / $527.03 / $695.32
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.79 / $702.00 / $1,134.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.15 / $614.08 / $675.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.20 / $546.44 / $659.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.08 / $614.08 / $614.08