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Oklahoma rates for HCPCS L5822

Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.95 / $876.95 / $876.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.95 / $1,002.23 / $1,011.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.82 / $1,367.82 / $1,367.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.51 / $1,367.82 / $1,367.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.29 / $1,227.57 / $10,228.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.78 / $1,347.44 / $2,069.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.73 / $849.73 / $849.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.78 / $977.11 / $1,536.00