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Oklahoma rates for HCPCS L5850

Addition Endoskeletal System Above Knee Or Hip Disarticulation Knee Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.84 / $87.84 / $87.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.84 / $87.84 / $100.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.00 / $174.00 / $174.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.98 / $179.26 / $179.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.32 / $99.32 / $99.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $99.32 / $99.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.45 / $122.96 / $799.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.07 / $101.22 / $199.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.84 / $92.31 / $115.39