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Oklahoma rates for HCPCS L5726

Addition, exoskeletal knee-shin system, single axis, external joints, fluid swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.45 / $1,194.45 / $1,194.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.45 / $1,254.00 / $1,365.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.19 / $1,606.19 / $1,606.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.52 / $1,606.19 / $1,606.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.46 / $1,672.00 / $11,048.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.42 / $1,376.45 / $2,718.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.42 / $1,326.92 / $1,569.42