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New York 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
$302.79 / $397.42 / $632.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.79 / $401.16 / $600.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.62 / $500.43 / $981.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.88 / $453.88 / $1,209.58
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.34 / $643.38 / $643.38
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.38 / $643.38 / $643.38
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 / $489.93
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $490.62 / $1,103.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.18 / $451.37 / $883.12
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.44 / $541.44 / $541.44
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.44 / $577.54 / $613.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.26 / $352.26 / $352.26
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.23 / $561.23 / $561.23
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.67 / $465.67 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.94 / $465.67 / $738.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.74 / $455.60 / $790.20
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.54 / $577.54 / $577.54
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.44 / $577.54 / $613.63