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Florida 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
$596.49 / $661.04 / $757.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.52 / $695.83 / $1,260.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.79 / $1,079.75 / $1,079.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.60 / $840.60 / $840.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.64 / $613.64 / $892.34
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.79 / $668.71 / $844.10
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.81 / $879.50 / $1,439.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.53 / $619.28 / $681.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.15 / $697.06 / $900.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.28 / $619.28 / $754.00