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Connecticut 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
$434.66 / $434.66 / $434.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.50 / $428.86 / $434.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.55 / $524.58 / $600.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.22 / $453.88 / $453.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.67 / $465.67 / $489.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.94 / $339.94 / $465.67
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.98 / $340.98 / $340.98
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.89 / $340.98 / $451.37
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.14 / $478.14 / $478.14
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.26 / $404.26 / $559.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.04 / $433.55 / $601.78