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Wisconsin rates for HCPCS L1833

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

Facilitymedian $513 · 10th–90th $437–$9330%50%10th90th$513Professionalmedian $457 · 10th–90th $110–$9120%10%10th90th$457$1.0$5.0$20.0$100.0$500.0$2.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $165.96 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $323.59 / $741.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $575.44
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $1,862.09 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $707.95 / $954.99
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $501.19 / $676.08
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $707.95 / $794.33
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $501.19 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $426.58 / $851.14
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $269.15
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $741.31 / $1,230.27
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $851.14 / $1,380.38
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $1,000.00 / $2,398.83
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $676.08 / $3,467.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $398.11 / $645.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $501.19 / $1,202.26