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Delaware 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
$249.88 / $428.86 / $428.86
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 / $489.93
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.02 / $538.02 / $538.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.83 / $398.66 / $1,457.48