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Arkansas rates for HCPCS L1833

Knee orthosis (KO), 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
$154.00 / $380.70 / $380.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.40 / $380.70 / $428.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.00 / $490.65 / $490.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.90 / $615.30 / $683.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.23 / $541.67 / $620.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.67 / $541.67 / $704.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.34 / $465.67 / $489.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.94 / $465.67 / $489.93
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.25 / $564.25 / $564.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.80 / $338.66 / $490.65