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Alabama 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
$1,298.45 / $1,298.45 / $1,298.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.65 / $822.24 / $1,298.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.91 / $902.91 / $902.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.42 / $840.60 / $1,409.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.64 / $840.60 / $1,234.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.58 / $664.07 / $988.78