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Oklahoma rates for HCPCS L5722

Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.63 / $468.63 / $468.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.63 / $535.57 / $571.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.29 / $875.29 / $875.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $875.29 / $875.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.02 / $655.99 / $5,634.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.42 / $714.41 / $1,105.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.42 / $522.14 / $814.38