go back

Illinois rates for HCPCS L1851

Knee Orthosis (Ko) Single Upright Thigh And Calfwith 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
$396.46 / $396.46 / $605.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.21 / $438.73 / $664.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.52 / $673.52 / $673.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.39 / $3,714.15 / $8,101.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.91 / $497.79 / $497.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.97 / $636.97 / $984.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.99 / $522.69 / $748.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.24 / $969.00 / $1,461.66
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.49 / $851.49 / $851.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.51 / $538.82 / $925.87