go back

Oklahoma rates for HCPCS L5160

Knee Disarticulation (Or Through Knee) Molded Socket Bent Knee Configuration External Knee Joints Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,243.60 / $2,243.60 / $2,243.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,243.60 / $2,564.12 / $2,564.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,670.30 / $3,670.30 / $3,670.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.32 / $3,670.30 / $3,670.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,476.53 / $3,140.62 / $24,492.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.75 / $3,022.30 / $5,293.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,739.16 / $2,492.44 / $3,445.23