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Idaho 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
Professional
Modifier
Low / Median / High Price
$661.22 / $972.03 / $1,261.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.60 / $840.60 / $1,000.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.64 / $840.60 / $896.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.35 / $1,081.36 / $1,440.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.33 / $1,368.36 / $1,440.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,062.99 / $1,265.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,261.24 / $1,406.62 / $2,109.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.27 / $1,008.27 / $1,512.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.52 / $627.88 / $992.62