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Oklahoma rates for HCPCS L1840

Knee Orthosis Derotation Medial-Lateral Anterior Cruciate Ligament Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.85 / $601.85 / $887.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.55 / $601.85 / $601.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.53 / $1,114.53 / $1,114.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.96 / $732.96 / $732.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.05 / $535.05 / $1,313.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.63 / $789.07 / $5,476.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.53 / $602.91 / $1,258.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,173.99 / $1,173.99 / $1,173.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.53 / $569.67 / $741.40