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Oklahoma rates for HCPCS L5698

Addition to lower extremity, above knee (AK) or knee disarticulation, Silesian bandage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.63 / $61.63 / $61.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.63 / $70.44 / $75.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.58 / $125.78 / $125.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.25 / $99.25 / $99.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $72.45 / $166.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.32 / $86.27 / $682.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $82.54 / $145.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.05 / $52.05 / $52.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $66.79 / $94.08