go back

Colorado 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
$333.75 / $333.75 / $333.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.75 / $570.91 / $677.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.98 / $669.64 / $1,215.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.75 / $685.32 / $685.32
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 / $464.99 / $748.13
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.75 / $425.96 / $1,105.95
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.96 / $425.96 / $425.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.07 / $744.98 / $1,191.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.69 / $481.81 / $769.49