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Rhode Island 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
$417.51 / $724.57 / $866.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,064.64 / $2,788.60 / $3,301.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.90 / $822.24 / $1,320.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.66 / $840.60 / $840.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.64 / $829.42 / $840.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.80 / $732.52 / $1,214.21