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Oklahoma rates for HCPCS L5639

Addition to lower extremity, below knee (BK), wood socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.38 / $577.38 / $577.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.38 / $659.86 / $666.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.50 / $870.50 / $870.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.47 / $870.50 / $870.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.41 / $808.23 / $7,424.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.56 / $887.14 / $1,362.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.56 / $671.35 / $1,011.29