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Nevada 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
$256.20 / $256.20 / $295.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.20 / $310.73 / $615.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.98 / $584.98 / $584.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.87 / $685.32 / $875.56
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 / $636.97 / $748.13
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.49 / $584.98 / $924.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.20 / $481.81 / $803.01