go back

Virginia 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 $437–$1,0960%20%40%10th90th$708Professionalmedian $575 · 10th–90th $324–$9330%20%10th90th$575$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
$302.00 / $537.03 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $537.03 / $741.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $1,348.96
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $741.31 / $1,096.48
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $602.56 / $1,000.00
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $691.83 / $870.96
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $870.96 / $1,479.11
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $870.96 / $1,479.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $478.63 / $933.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $549.54 / $891.25