go back

Oklahoma rates for HCPCS L5644

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.85 / $362.85 / $362.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.85 / $414.69 / $414.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.59 / $458.59 / $458.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.77 / $458.59 / $458.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.32 / $507.93 / $3,692.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.78 / $467.35 / $856.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.78 / $389.86 / $532.75