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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
$389.05 / $389.05 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $416.87 / $1,096.48
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $588.84 / $2,398.83
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $512.86 / $776.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,174.90 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $588.84 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $501.19
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $741.31
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $562.34 / $676.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $588.84 / $2,398.83
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $512.86 / $776.25
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $380.19 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $457.09 / $630.96