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Hawaii 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
$428.86 / $428.86 / $446.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.82 / $678.82 / $678.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.67 / $465.67 / $767.89
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.49 / $743.97 / $743.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.66 / $698.08 / $977.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.12 / $678.82 / $767.89
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.72 / $668.79 / $688.32