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Oklahoma rates for HCPCS L5643

Addition to lower extremity, hip disarticulation, flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.08 / $862.08 / $862.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.08 / $985.23 / $985.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.10 / $1,759.34 / $1,759.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.30 / $1,167.30 / $1,167.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.13 / $1,167.30 / $1,167.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.66 / $1,206.73 / $9,793.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.32 / $1,231.55 / $2,033.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.32 / $957.68 / $1,403.89