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Illinois 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
$430.29 / $430.29 / $448.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.88 / $352.05 / $540.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.47 / $514.35 / $514.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.25 / $2,937.18 / $6,406.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.61 / $377.13 / $377.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.67 / $465.67 / $674.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.94 / $465.67 / $572.29
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.26 / $719.53 / $1,179.35
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.10 / $645.10 / $645.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.02 / $410.34 / $733.14