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Oklahoma 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
$255.23 / $255.23 / $255.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.78 / $255.22 / $428.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.00 / $459.98 / $509.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.65 / $472.65 / $472.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.67 / $465.67 / $489.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.94 / $465.67 / $489.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.07 / $322.72 / $2,424.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.80 / $348.45 / $589.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.80 / $341.71 / $536.08