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Oklahoma rates for HCPCS L5616

Addition to lower extremity, endoskeletal system, above knee (AK), universal multiplex system, friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.56 / $932.56 / $932.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.56 / $979.06 / $1,065.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.60 / $1,018.60 / $1,018.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $743.58 / $2,056.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.02 / $1,305.41 / $8,447.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.16 / $1,074.66 / $2,122.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.16 / $980.03 / $1,225.32