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New York 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
$239.88 / $549.54 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $371.54 / $575.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $1,380.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $1,122.02
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $562.34 / $562.34
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,096.48 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $691.83
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,148.15 / $2,630.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $724.44 / $1,318.26
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $416.87
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $426.58 / $457.09
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $660.69 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $707.95 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $346.74 / $588.84
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $426.58 / $478.63
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $426.58 / $457.09