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Idaho 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
$172.00 / $172.00 / $172.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.83 / $471.74 / $498.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.67 / $465.67 / $465.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.94 / $465.67 / $496.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.72 / $443.19 / $482.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.87 / $421.03 / $451.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $452.62 / $537.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.37 / $438.37 / $657.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.06 / $329.61 / $474.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.64 / $341.71 / $536.08