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Oklahoma rates for HCPCS L2387

Addition to lower extremity, polycentric knee joint, for custom fabricated knee-ankle-foot orthosis (KAFO), each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.16 / $88.16 / $129.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.90 / $88.16 / $109.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.09 / $163.26 / $163.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.51 / $116.51 / $116.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.05 / $116.50 / $116.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.05 / $111.99 / $992.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $93.02 / $184.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.67 / $93.02 / $112.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $91.08 / $133.44