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Florida 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
$450.34 / $499.07 / $606.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.75 / $521.72 / $758.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.38 / $675.71 / $900.95
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 / $679.05
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.36 / $616.36 / $616.36
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.99 / $714.98 / $866.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.91 / $257.86 / $286.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.22 / $542.26 / $769.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.52 / $286.52 / $714.98