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Oklahoma rates for HCPCS L5706

Custom Shaped Protective Cover Knee Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.45 / $483.45 / $483.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.45 / $552.51 / $557.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.73 / $957.73 / $957.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.14 / $957.73 / $957.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.30 / $676.73 / $5,705.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.80 / $721.11 / $1,140.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.23 / $595.23 / $595.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.80 / $545.71 / $822.21