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Oklahoma rates for HCPCS L5626

Addition to lower extremity, test socket, hip disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.14 / $274.14 / $274.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.14 / $313.30 / $313.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.67 / $559.46 / $559.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.58 / $493.58 / $493.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.31 / $493.58 / $493.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.31 / $383.74 / $3,080.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.33 / $377.26 / $646.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.55 / $648.55 / $648.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.33 / $304.52 / $430.06