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Utah rates for HCPCS L1833

Knee Orthosis 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
$294.83 / $294.83 / $294.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.68 / $295.77 / $2,359.77
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 / $496.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $296.65 / $421.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.37 / $438.37 / $491.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.06 / $380.88 / $496.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.24 / $341.71 / $536.08