go back

Oklahoma rates for HCPCS L5676

Additions to lower extremity, below knee (BK), knee joints, single axis, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.03 / $243.03 / $243.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.03 / $261.22 / $277.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.98 / $495.98 / $495.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.77 / $271.77 / $271.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.39 / $271.77 / $271.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.08 / $340.21 / $2,350.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.66 / $286.73 / $553.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.66 / $255.41 / $326.85