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Oklahoma rates for HCPCS L5614

Addition To Lower Extremity Exoskeletal System Above Knee- Knee Disarticulation 4 Bar Linkage With Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.69 / $878.69 / $878.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.69 / $1,004.22 / $1,013.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.79 / $1,317.79 / $1,317.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.99 / $1,317.79 / $1,317.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.11 / $1,230.00 / $9,502.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.26 / $1,199.72 / $2,073.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.26 / $968.42 / $1,367.60