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Oklahoma rates for HCPCS L5677

Additions To Lower Extremity Below Knee Knee Joints Polycentric Pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.55 / $338.55 / $338.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.55 / $355.43 / $386.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.92 / $690.92 / $690.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.78 / $400.78 / $400.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.57 / $400.78 / $400.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.60 / $473.91 / $3,128.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.82 / $390.14 / $770.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.82 / $355.79 / $444.83