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Idaho 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

Facilitymedian $603 · 10th–90th $479–$1,0470%20%40%10th90th$603Professionalmedian $617 · 10th–90th $407–$1,0000%10%20%10th90th$617$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $562.34 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $691.83 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $630.96
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $602.56 / $870.96
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $575.44 / $660.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $758.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $831.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $676.08
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $616.60 / $912.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $549.54 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $478.63 / $776.25