go back

Tennessee 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
$313.48 / $313.48 / $342.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.35 / $323.33 / $586.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.14 / $627.10 / $627.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.50 / $437.50 / $437.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.38 / $319.38 / $437.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.72 / $3,239.07 / $3,239.07
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,488.94 / $3,488.94 / $5,072.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.74 / $347.62 / $484.53