go back

Illinois rates for HCPCS L1848

Knee orthosis (KO), double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $363.08 / $616.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,148.15 / $6,760.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $524.81 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $758.58
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $812.83 / $1,000.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $549.54 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $346.74 / $537.03