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Oklahoma rates for HCPCS L5828

Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,454.26 / $1,454.26 / $1,454.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,454.25 / $1,454.26 / $1,677.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,881.00 / $2,881.00 / $2,881.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,419.80 / $2,967.88 / $2,967.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,117.90 / $2,117.90 / $2,117.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.07 / $1,546.07 / $4,123.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.64 / $2,035.69 / $17,754.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.29 / $2,234.46 / $3,431.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.29 / $1,620.35 / $2,547.16