go back

Arizona rates for HCPCS L1860

Knee orthosis (KO), modification of supracondylar prosthetic socket, custom fabricated (SK)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.52 / $644.74 / $1,101.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.85 / $1,397.49 / $2,526.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.12 / $1,289.49 / $1,756.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.39 / $755.39 / $755.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.42 / $551.42 / $1,741.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.35 / $1,077.00 / $6,411.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.54 / $603.10 / $908.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.54 / $603.10 / $908.49