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Oklahoma rates for HCPCS L5706

Custom shaped protective cover, knee disarticulation

Facilitymedian $646 · 10th–90th $479–$1,5140%20%10th90th$646Professionalmedian $589 · 10th–90th $479–$9120%10%10th90th$589$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $588.84 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $1,318.26
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $724.44 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $616.60 / $1,380.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $812.83 / $1,258.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $537.03 / $812.83