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Oklahoma rates for HCPCS L5634

Addition to lower extremity, Symes type, posterior opening (Canadian) socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.65 / $156.65 / $156.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.65 / $179.03 / $180.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.64 / $274.64 / $274.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.49 / $274.64 / $274.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.59 / $219.28 / $1,955.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.43 / $240.69 / $369.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.43 / $174.02 / $274.38