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Alabama 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
$781.31 / $781.31 / $781.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.73 / $615.59 / $781.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.43 / $779.43 / $779.43
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 / $820.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.20 / $519.62 / $769.49