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North Carolina 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
$1,260.63 / $2,174.67 / $2,326.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.47 / $1,260.63 / $1,260.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.27 / $1,385.13 / $2,629.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.61 / $1,079.75 / $1,079.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.42 / $840.60 / $879.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.64 / $840.60 / $1,634.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.35 / $1,260.63 / $1,638.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.00 / $800.00 / $998.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.26 / $1,835.58 / $2,463.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.23 / $711.83 / $1,014.12
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.90 / $7,970.79 / $7,970.79
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,087.45 / $8,087.45 / $11,389.50