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Oklahoma rates for HCPCS L5814

Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,933.91 / $1,933.91 / $1,933.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,933.91 / $2,210.19 / $2,231.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,217.91 / $3,946.76 / $3,946.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $2,502.67 / $2,502.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $2,502.67 / $2,502.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.96 / $2,707.11 / $20,912.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.09 / $2,640.41 / $4,562.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.09 / $2,131.34 / $3,009.91