go back

New Jersey rates for HCPCS L1850

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.22 / $121.22 / $121.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $134.36 / $194.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.55 / $214.95 / $221.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $156.91 / $256.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.07 / $243.99 / $325.31
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.81 / $296.08 / $296.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.74 / $177.65 / $274.29