go back

Connecticut 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
$709.75 / $709.75 / $709.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.67 / $683.69 / $755.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.74 / $1,460.31 / $1,670.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.13 / $828.15 / $828.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.42 / $840.60 / $840.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.64 / $613.64 / $840.60
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.20 / $949.20 / $949.20
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.20 / $987.09 / $1,397.11
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.52 / $903.52 / $903.52
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.52 / $903.52 / $903.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.98 / $728.53 / $1,214.21