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Missouri 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
$180.50 / $295.77 / $536.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.41 / $301.76 / $451.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $323.33 / $651.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.82 / $513.26 / $2,256.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.40 / $453.88 / $586.76
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 / $496.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.77 / $451.52 / $2,424.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.76 / $341.71 / $832.53
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.25 / $564.25 / $564.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.04 / $341.71 / $660.38