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New Jersey 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
$156.91 / $323.79 / $323.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.88 / $347.68 / $428.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.57 / $471.57 / $471.57
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.14 / $486.14 / $887.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.67 / $465.67 / $490.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.94 / $339.94 / $566.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.37 / $539.67 / $834.31
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.16 / $557.16 / $759.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.66 / $441.39 / $727.46