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Oklahoma rates for HCPCS L5816

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $616.60 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $1,122.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $724.44 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $616.60 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $933.25 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $524.81 / $758.58