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Indiana 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 $646 · 10th–90th $363–$9550%50%10th90th$646Professionalmedian $479 · 10th–90th $339–$8130%20%10th90th$479$1.0$5.0$20.0$100.0$500.0$2.0K

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
$363.08 / $363.08 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $426.58 / $741.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $645.65 / $1,148.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $660.69 / $1,047.13
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $891.25 / $1,023.29
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 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $512.86 / $691.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $501.19 / $776.25