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Nevada 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
$237.09 / $237.09 / $273.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.09 / $305.47 / $586.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.05 / $558.05 / $558.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.66 / $653.37 / $914.00
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 / $713.63
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.64 / $558.05 / $881.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.26 / $459.39 / $733.69