go back

Nevada 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
$314.45 / $314.45 / $362.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.45 / $314.45 / $518.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$920.83 / $920.83 / $920.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.29 / $557.09 / $1,227.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.51 / $632.51 / $677.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.73 / $632.51 / $741.71
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.05 / $736.66 / $1,197.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.70 / $459.39 / $659.05