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California 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
$755.89 / $755.89 / $4,841.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.45 / $755.89 / $2,101.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.30 / $1,124.30 / $1,241.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.01 / $2,364.71 / $5,326.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.13 / $828.15 / $1,311.05
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $1,986.68 / $3,547.64
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $2,226.50 / $5,186.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.41 / $840.60 / $852.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.64 / $613.64 / $896.12
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.44 / $773.33 / $1,845.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.84 / $1,174.64 / $2,550.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,433.19 / $6,648.31 / $7,970.79
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,054.69 / $8,087.45 / $11,389.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,970.91 / $3,970.91 / $3,970.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.35 / $1,322.34 / $1,678.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.64 / $840.60 / $1,406.62
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,167.28 / $3,167.28 / $3,167.28
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.44 / $1,095.55 / $1,342.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.52 / $638.88 / $1,633.18