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Arizona 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
Professional
Modifier
Low / Median / High Price
$177.28 / $428.86 / $540.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.84 / $523.42 / $679.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.35 / $420.32 / $759.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.13 / $387.85 / $509.05
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 / $339.94 / $566.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.01 / $322.72 / $2,424.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.83 / $341.71 / $536.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.23 / $341.71 / $536.08