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Wisconsin 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
$166.02 / $296.17 / $296.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.00 / $404.00 / $667.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.23 / $545.85 / $903.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.49 / $461.49 / $620.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.23 / $597.04 / $1,061.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.23 / $521.04 / $758.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.67 / $1,642.58 / $2,027.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.94 / $719.61 / $933.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.17 / $444.26 / $595.48
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.19 / $496.23 / $595.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.52 / $533.11 / $2,424.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.71 / $457.26 / $711.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $267.14
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.17 / $444.26 / $595.48
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.19 / $496.23 / $595.48
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.23 / $1,006.24 / $1,318.86
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.67 / $963.56 / $2,424.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.94 / $465.67 / $3,450.30
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.80 / $685.80 / $685.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.80 / $685.80 / $685.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.24 / $414.04 / $855.63