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North Carolina 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 $1,000 · 10th–90th $427–$2,0420%20%10th90th$1,000Professionalmedian $692 · 10th–90th $479–$1,0000%20%10th90th$692$1.0$10.0$100.0$1.0K$10.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $588.84 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $933.25 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $630.96 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $776.25
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $524.81 / $724.44
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $1,000.00 / $1,621.81
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $1,096.48 / $1,174.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $457.09 / $933.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $549.54 / $794.33
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $4,897.79
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $8,709.64