go back

Iowa rates for HCPCS L1833

Knee Orthosis 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
$217.75 / $404.00 / $498.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.98 / $347.68 / $606.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.67 / $465.67 / $674.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.67 / $566.63 / $708.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.42 / $633.36 / $867.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.49 / $770.61 / $2,424.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.44 / $379.36 / $935.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.64 / $682.16 / $925.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.64 / $806.48 / $1,430.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.23 / $531.46 / $896.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.44 / $348.45 / $717.12
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.04 / $601.04 / $601.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.82 / $601.04 / $601.04