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Minnesota 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
$129.06 / $404.00 / $404.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.40 / $428.86 / $501.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.14 / $634.77 / $927.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.64 / $651.51 / $685.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.67 / $1,499.06 / $3,475.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.63 / $600.62 / $719.61
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$889.98 / $1,438.28 / $3,278.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.63 / $566.63 / $579.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.72 / $488.82 / $2,424.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.80 / $424.67 / $833.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.80 / $379.36 / $874.26