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Utah 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 $468 · 10th–90th $407–$6460%20%40%10th90th$468Professionalmedian $589 · 10th–90th $316–$8710%20%10th90th$589$50.0$100.0$200.0$500.0$1.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $588.84 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $645.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $416.87 / $537.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $562.34 / $645.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $645.65
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $588.84 / $831.76
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $588.84 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $457.09 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $436.52 / $630.96