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Vermont 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 / $712.61 / $822.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.45 / $1,181.45 / $1,181.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.42 / $840.60 / $965.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.64 / $829.42 / $896.12
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.42 / $840.60 / $965.28
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.64 / $829.42 / $896.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.68 / $777.97 / $1,688.17