go back

Oklahoma rates for HCPCS L2795

Addition To Lower Extremity Orthosis Knee Control Full Kneecap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.17 / $52.17 / $76.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.24 / $52.17 / $57.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.62 / $96.62 / $96.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.69 / $62.81 / $62.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $56.69 / $62.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.83 / $68.40 / $501.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.84 / $52.60 / $109.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.84 / $47.76 / $68.51