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Oklahoma rates for HCPCS L5312

Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.64 / $1,895.64 / $1,895.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,895.64 / $2,166.44 / $2,339.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,755.40 / $3,755.40 / $3,755.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,632.35 / $3,868.66 / $3,868.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,001.57 / $3,001.57 / $3,001.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,191.15 / $3,001.57 / $3,001.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,085.19 / $2,899.65 / $21,089.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.73 / $2,609.96 / $4,472.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.73 / $2,105.88 / $3,043.56