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Kentucky 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
$420.80 / $436.38 / $538.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.75 / $436.38 / $615.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.54 / $675.71 / $675.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.08 / $714.98 / $751.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.62 / $519.62 / $769.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.24 / $965.22 / $1,179.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.73 / $857.98 / $1,179.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.97 / $636.97 / $832.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.99 / $636.97 / $3,248.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $758.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.27 / $522.51 / $736.13