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Oklahoma rates for HCPCS L5642

Addition to lower extremity, above knee (AK), leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.07 / $329.07 / $329.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.07 / $376.08 / $376.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.41 / $530.41 / $530.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.20 / $387.20 / $950.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.50 / $460.63 / $3,873.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.32 / $490.24 / $776.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.32 / $366.65 / $558.84