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Oklahoma rates for HCPCS L1831

Knee orthosis (KO), locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.56 / $168.56 / $248.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.32 / $168.56 / $190.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.14 / $312.14 / $312.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.94 / $197.94 / $197.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.50 / $197.94 / $197.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.03 / $214.13 / $1,651.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.36 / $169.93 / $352.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.36 / $160.75 / $226.73