go back

Oklahoma rates for HCPCS L5830

Addition Endoskeletal Knee-Shin System Single Axis Pneumatic/ Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.49 / $1,072.49 / $1,072.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.49 / $1,225.71 / $1,225.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,188.76 / $2,188.76 / $2,188.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,654.54 / $1,654.54 / $1,654.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.81 / $1,654.54 / $1,654.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.52 / $1,501.28 / $12,123.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.48 / $1,501.45 / $2,530.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.48 / $1,136.22 / $1,711.55