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Nationwide rates for HCPCS L1851

Knee orthosis (KO), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.80 / $440.51 / $538.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.39 / $521.72 / $677.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.78 / $703.69 / $1,215.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.48 / $685.32 / $831.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.97 / $636.97 / $712.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.99 / $636.97 / $712.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.75 / $526.41 / $779.43