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Utah rates for HCPCS L1833

Knee orthosis (KO), adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf

Facilitymedian $363 · 10th–90th $295–$4680%20%40%10th90th$363Professionalmedian $427 · 10th–90th $195–$8320%10%10th90th$427$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $426.58 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $467.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $331.13 / $562.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $446.68 / $489.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $512.86
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $467.74 / $630.96
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $467.74 / $562.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $338.84 / $363.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $338.84 / $537.03