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Indiana 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
$290.58 / $290.58 / $496.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.98 / $301.76 / $471.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.00 / $642.94 / $692.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.02 / $444.13 / $496.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.73 / $453.88 / $714.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.51 / $545.85 / $744.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.23 / $595.48 / $744.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.67 / $465.67 / $496.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.94 / $465.67 / $626.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.80 / $398.66 / $552.12