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Oklahoma rates for HCPCS L1850

Knee Orthosis Swedish Type Prefabricated Off- The- Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.11 / $123.11 / $261.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.55 / $123.11 / $143.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.99 / $227.99 / $227.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.95 / $214.95 / $214.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $214.95 / $214.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.44 / $200.37 / $1,096.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.85 / $178.74 / $279.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.67 / $169.08 / $232.09