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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
$35.84 / $68.68 / $115.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.51 / $35.84 / $59.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.16 / $69.50 / $69.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.37 / $66.37 / $66.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $67.14 / $76.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $67.14 / $76.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.74 / $59.19 / $340.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $49.17 / $77.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $47.12 / $70.54