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Oklahoma rates for HCPCS L5795

Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.23 / $737.23 / $737.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.23 / $773.99 / $842.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.11 / $908.11 / $908.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.92 / $662.92 / $1,494.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.05 / $1,031.99 / $6,807.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.61 / $849.57 / $1,677.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.51 / $1,460.51 / $1,460.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.61 / $819.00 / $968.46