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Oklahoma rates for HCPCS L5790

Addition, exoskeletal system, above knee (AK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.70 / $493.70 / $493.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.70 / $518.32 / $564.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.58 / $1,007.56 / $1,007.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.20 / $582.20 / $582.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.01 / $582.20 / $582.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.95 / $691.10 / $4,473.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.02 / $568.94 / $1,123.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.36 / $500.36 / $500.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.02 / $518.84 / $648.70