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Oklahoma rates for HCPCS L5611

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.72 / $829.72 / $829.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.72 / $948.25 / $957.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.17 / $1,693.30 / $1,693.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.77 / $1,226.77 / $1,226.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $1,226.77 / $1,226.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.83 / $1,161.45 / $10,120.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.16 / $1,274.85 / $1,957.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.16 / $964.75 / $1,453.26