go back

Oklahoma rates for HCPCS L5785

Addition, exoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.31 / $298.31 / $298.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.31 / $340.93 / $374.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.79 / $608.79 / $608.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.66 / $389.66 / $389.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.45 / $389.65 / $389.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.84 / $417.58 / $3,225.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.40 / $411.10 / $703.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.40 / $313.49 / $468.63