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Florida 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
$470.11 / $520.98 / $632.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.39 / $520.98 / $745.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.60 / $908.36 / $908.36
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 / $472.90
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.84 / $573.84 / $573.84
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.25 / $682.08 / $904.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.68 / $428.52 / $476.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.53 / $561.01 / $733.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.14 / $476.14 / $682.08