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Utah 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
$405.35 / $405.35 / $864.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.35 / $630.48 / $4,841.62
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 / $840.60 / $896.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.31 / $923.09 / $1,200.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.20 / $1,234.82 / $1,234.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.15 / $885.12 / $1,327.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.16 / $627.88 / $803.94