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Oklahoma rates for HCPCS L5728

Addition Exoskeletal Knee-Shin System Single Axis Fluid Swing And Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,276.11 / $1,276.11 / $1,276.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.11 / $1,458.42 / $1,458.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.41 / $2,050.41 / $2,050.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.80 / $1,496.80 / $3,373.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.83 / $1,786.32 / $15,093.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.88 / $1,882.80 / $3,010.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.88 / $1,421.86 / $2,146.28