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Oklahoma rates for HCPCS L2800

Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.82 / $56.82 / $83.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.72 / $56.82 / $64.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.23 / $105.23 / $105.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.09 / $75.09 / $75.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.82 / $75.09 / $75.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.70 / $74.50 / $634.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.97 / $59.95 / $118.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.97 / $57.45 / $86.01