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Virginia 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
$235.14 / $393.95 / $393.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.14 / $393.95 / $428.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.67 / $541.67 / $575.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.88 / $453.88 / $567.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.33 / $530.07 / $530.07
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.43 / $468.45 / $736.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.72 / $436.53 / $761.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.02 / $714.77 / $1,022.04
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.70 / $623.61 / $810.69
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.70 / $623.61 / $810.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.64 / $397.49 / $623.61