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Maine 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
Professional
Modifier
Low / Median / High Price
$390.74 / $446.18 / $542.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.56 / $604.47 / $1,120.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.22 / $434.22 / $453.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.67 / $465.67 / $465.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.94 / $339.94 / $465.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.07 / $724.07 / $724.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.74 / $493.18 / $542.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.76 / $436.53 / $1,026.02