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Oklahoma rates for HCPCS L5653

Addition to lower extremity, knee disarticulation, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.79 / $306.79 / $306.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.79 / $350.62 / $350.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.11 / $626.11 / $626.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.76 / $555.76 / $555.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.70 / $555.76 / $555.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.98 / $429.46 / $3,703.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.33 / $460.51 / $723.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.33 / $341.83 / $524.95