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Oklahoma rates for HCPCS L5617

Addition to lower extremity, quick change self-aligning unit, above knee (AK) or below knee (BK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.33 / $291.33 / $291.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.33 / $332.96 / $336.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.57 / $594.58 / $594.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.96 / $436.96 / $436.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $436.96 / $436.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.58 / $407.83 / $3,169.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.97 / $400.34 / $687.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.97 / $323.16 / $456.36