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Georgia 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 $708 · 10th–90th $417–$2,5700%20%10th90th$708Professionalmedian $603 · 10th–90th $372–$1,0470%10%20%10th90th$603$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$416.87 / $416.87 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $489.78 / $954.99
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,230.27 / $1,698.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,659.59 / $2,570.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $912.01 / $1,202.26
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $707.95 / $1,778.28
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $891.25 / $1,122.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $457.09 / $707.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $562.34 / $912.01