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Oklahoma rates for HCPCS L5696

Addition To Lower Extremity Above Knee Or Knee Disarticulation Pelvic Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.31 / $114.31 / $114.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.31 / $130.63 / $130.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.76 / $138.76 / $138.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.29 / $138.76 / $138.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.52 / $160.01 / $1,184.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.86 / $146.40 / $269.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.68 / $251.68 / $251.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.86 / $120.13 / $166.89