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Oklahoma rates for HCPCS L1844

Knee orthosis (KO), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$889.00 / $889.00 / $1,310.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.07 / $889.00 / $889.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,646.29 / $1,646.29 / $1,646.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.93 / $1,186.93 / $1,186.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.46 / $1,186.93 / $1,186.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.95 / $1,165.55 / $9,309.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.79 / $898.81 / $1,859.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,193.78 / $1,193.78 / $1,193.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.79 / $893.69 / $1,282.10