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Alabama rates for HCPCS L1852

Knee Orthosis (Ko) Double 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
$767.39 / $767.39 / $767.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.55 / $586.95 / $767.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.65 / $813.65 / $813.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.29 / $647.80 / $647.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.90 / $472.90 / $713.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.26 / $513.58 / $768.45