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Michigan 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
$335.29 / $961.45 / $1,393.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.58 / $352.05 / $478.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.35 / $514.35 / $514.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.08 / $1,496.43 / $2,725.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.42 / $496.23 / $669.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.55 / $496.23 / $737.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.98 / $645.10 / $758.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.67 / $465.67 / $489.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.67 / $465.67 / $690.06
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.02 / $961.45 / $1,393.47
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.02 / $335.29 / $595.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.36 / $507.49 / $583.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.24 / $389.73 / $630.05