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Oklahoma rates for HCPCS L2395

Addition to lower extremity, offset knee joint, heavy-duty, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $107.15 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $204.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $147.91 / $724.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $112.20 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $186.21 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $87.10 / $125.89