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Oklahoma rates for HCPCS L5930

Addition Endoskeletal System High Activity Knee Control Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,752.71 / $1,752.71 / $1,752.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.71 / $2,003.10 / $2,022.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,916.40 / $3,576.96 / $3,576.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.71 / $2,282.71 / $2,282.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.39 / $1,666.39 / $4,710.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.59 / $2,453.46 / $19,065.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.02 / $2,408.37 / $4,135.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,982.23 / $1,982.23 / $1,982.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.02 / $1,944.04 / $2,746.00