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California 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
$428.86 / $428.86 / $2,359.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.58 / $428.86 / $621.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.23 / $411.48 / $679.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.43 / $707.91 / $1,795.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.73 / $453.88 / $582.12
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $1,000.58 / $1,786.76
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $884.07 / $2,067.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.67 / $465.67 / $678.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.94 / $339.94 / $496.43
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.87 / $512.10 / $614.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.23 / $475.85 / $1,033.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.64 / $2,424.52 / $2,424.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,450.30 / $3,450.30 / $3,679.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.28 / $1,042.28 / $1,042.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.72 / $443.19 / $531.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.94 / $443.19 / $516.35
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.71 / $1,543.71 / $1,543.71
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.55 / $512.10 / $665.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.83 / $341.71 / $737.45