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West 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
$335.62 / $335.62 / $335.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.41 / $393.95 / $434.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.23 / $650.02 / $812.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.18 / $650.02 / $1,255.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.67 / $465.67 / $631.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.94 / $465.67 / $2,497.05
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.51 / $511.49 / $669.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.64 / $401.53 / $662.49