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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$338.84 / $645.65 / $1,318.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,230.27 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $489.78 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $426.58 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $537.03 / $741.31