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Kentucky 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
$334.71 / $583.19 / $604.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.71 / $541.40 / $608.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.73 / $964.45 / $964.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.32 / $1,134.65 / $1,192.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.35 / $492.35 / $557.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.99 / $1,531.78 / $1,806.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.92 / $1,361.58 / $1,872.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.51 / $632.51 / $1,329.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.73 / $632.51 / $4,946.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.98 / $723.15 / $903.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.95 / $503.52 / $724.80