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Maryland 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
$177.73 / $177.73 / $177.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.14 / $342.49 / $471.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.33 / $530.07 / $530.07
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 / $339.94 / $465.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.43 / $490.62 / $735.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.83 / $402.06 / $633.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $413.53 / $413.53