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Oklahoma rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $426.58 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $676.08 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $870.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $489.78 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $436.52 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $616.60 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $363.08 / $575.44