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Arkansas 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
$734.98 / $734.98 / $734.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.49 / $734.98 / $755.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.56 / $1,510.88 / $1,678.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,342.52 / $1,342.52 / $1,439.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.52 / $1,342.52 / $1,342.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.42 / $840.60 / $1,057.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.64 / $840.60 / $1,033.08
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.55 / $1,216.55 / $1,216.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.58 / $622.27 / $846.43