go back

Arizona rates for HCPCS L1850

Knee orthosis (KO), Swedish type, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.15 / $130.31 / $249.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.37 / $200.37 / $200.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.60 / $190.02 / $343.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.51 / $175.34 / $238.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.95 / $214.95 / $214.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $156.91 / $256.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.44 / $200.37 / $1,096.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.12 / $161.78 / $243.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.22 / $161.78 / $243.70