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Oklahoma rates for HCPCS L1830

Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $35.48 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $58.88 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $66.07 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $79.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $58.88 / $239.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $48.98 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $66.07 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $46.77 / $70.79