go back

Washington, DC 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
$549.47 / $549.47 / $549.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.47 / $549.47 / $755.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.34 / $705.34 / $917.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.64 / $613.64 / $613.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.64 / $872.64 / $2,664.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.52 / $669.77 / $1,006.34