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Massachusetts 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
$390.74 / $390.74 / $390.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.40 / $428.86 / $815.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.86 / $1,372.85 / $2,424.52
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.04 / $509.30 / $629.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,154.82 / $1,487.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.27 / $615.95 / $1,013.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.67 / $465.67 / $489.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.94 / $465.67 / $566.63
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.07 / $724.07 / $760.27
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.14 / $478.14 / $478.14
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.26 / $404.26 / $559.95
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.35 / $2,424.52 / $2,424.52
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.04 / $446.15 / $699.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.04 / $446.15 / $724.07