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Oklahoma rates for HCPCS L5840

Addition Endoskeletal Knee/Shin System 4-Bar Linkage Or Multiaxial Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,806.64 / $1,806.64 / $1,806.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,806.64 / $2,064.73 / $2,084.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,687.03 / $3,687.03 / $3,687.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.97 / $3,364.97 / $3,364.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.42 / $3,364.97 / $3,364.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.23 / $2,528.96 / $21,225.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.02 / $2,681.90 / $4,262.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.02 / $2,029.53 / $3,057.20