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Nationwide rates for HCPCS L1846

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, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $870.96 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $758.58 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $794.33 / $3,090.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $851.14 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $794.33 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $691.83 / $1,096.48