go back

Montana rates for HCPCS L1832

Knee Orthosis Adjustable Knee Joints (Unicentricor Polycentric) Positional Orthosis Rigid Support Prefabricated Item That Has Been Trimmedbent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.37 / $411.37 / $1,863.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.88 / $668.88 / $668.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.00 / $719.18 / $719.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.00 / $584.84 / $719.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.86 / $684.93 / $719.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.00 / $539.78 / $719.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.83 / $341.71 / $391.15