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Oklahoma rates for HCPCS L5270

Hip Disarticulation Tilt Table Type; Molded Socket Locking Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,760.77 / $2,760.77 / $2,760.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,760.77 / $3,155.16 / $3,155.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,865.01 / $4,865.01 / $4,865.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.46 / $4,865.01 / $4,865.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,988.15 / $3,864.56 / $33,007.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,053.08 / $4,069.54 / $6,513.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,320.94 / $5,320.94 / $5,320.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,053.08 / $3,079.62 / $4,639.02