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North Carolina 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
$355.13 / $443.12 / $594.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.40 / $594.34 / $671.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.30 / $545.60 / $728.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.99 / $1,006.82 / $1,239.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.46 / $545.60 / $600.16
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 / $465.67 / $566.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.72 / $594.34 / $714.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.77 / $714.77 / $714.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.91 / $677.10 / $933.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.04 / $433.55 / $613.30
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$907.50 / $2,424.52 / $2,424.52
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,450.30 / $3,679.65 / $3,679.65