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Nationwide rates for HCPCS L1852

Knee orthosis (KO), double 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 $741 · 10th–90th $457$1,9050%20%10th90th$741Professionalmedian $537 · 10th–90th $339$8910%10%20%10th90th$537$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

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
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $501.19 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $489.78 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $812.83 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $660.69 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $645.65 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $912.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $512.86 / $933.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $549.54 / $891.25