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Oklahoma rates for HCPCS L1846

Knee orthosis (KO), double 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
$625.26 / $625.26 / $908.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.10 / $625.26 / $755.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.89 / $1,157.89 / $1,157.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.42 / $840.60 / $840.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.64 / $829.42 / $840.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.35 / $817.35 / $6,648.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.58 / $632.16 / $1,307.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.58 / $627.88 / $900.77