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Arkansas 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 $398,107 · 10th–90th $589–$891,2510%10%20%10th90th$398,107Professionalmedian $447 · 10th–90th $324–$6760%20%40%10th90th$447$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
$588.84 / $588.84 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $446.68 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $645.65 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $645.65
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $794.33 / $933.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $501.19 / $758.58