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Tennessee 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
$140.28 / $315.70 / $344.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.41 / $333.24 / $594.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.57 / $541.67 / $982.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.12 / $654.71 / $725.49
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 / $465.67
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.46 / $2,424.52 / $2,424.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,450.30 / $3,450.30 / $3,679.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.76 / $428.86 / $536.08