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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
$329.29 / $329.29 / $329.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.29 / $376.34 / $379.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.27 / $672.03 / $672.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.20 / $572.20 / $572.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.71 / $572.20 / $572.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.19 / $460.95 / $4,009.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.26 / $505.96 / $776.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.26 / $366.90 / $576.76