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Alaska rates for HCPCS L1833

Knee Orthosis Adjustable Knee Joints (Unicentric Or Polycentric) Positional Orthosis Rigid Support Prefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.65 / $541.45 / $721.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.55 / $578.92 / $764.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.67 / $465.67 / $465.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.94 / $465.67 / $496.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.72 / $322.72 / $322.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.03 / $636.87 / $1,005.59
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.65 / $472.65 / $653.14
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.93 / $653.14 / $1,609.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.72 / $322.72 / $465.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.67 / $569.04 / $801.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.66 / $764.11 / $996.66