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Colorado 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.39 / $318.39 / $318.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.39 / $548.12 / $632.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.54 / $638.82 / $1,159.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.66 / $653.37 / $653.37
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 / $756.44
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.39 / $406.36 / $985.09
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.36 / $406.36 / $406.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.04 / $710.69 / $1,137.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.21 / $459.39 / $733.69