go back

Mississippi rates for HCPCS L1846

Knee Orthosis 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
$806.80 / $806.80 / $1,285.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.70 / $819.41 / $1,285.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.64 / $1,115.64 / $1,115.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.64 / $1,115.64 / $1,115.64
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.58 / $676.08 / $1,122.21