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Oklahoma rates for HCPCS L5280

Hemipelvectomy Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,005.27 / $3,005.27 / $3,005.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,005.27 / $3,434.60 / $3,434.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.96 / $4,728.96 / $4,728.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,452.14 / $4,728.96 / $4,728.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,968.27 / $4,206.81 / $34,402.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,032.55 / $4,028.84 / $7,090.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,926.06 / $6,926.06 / $6,926.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,032.55 / $3,158.26 / $4,592.63