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Oklahoma rates for HCPCS L5855

Addition Endoskeletal System Hip Disarticulation Mechanical Hip Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.00 / $177.00 / $177.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.00 / $202.29 / $204.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.23 / $361.23 / $361.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.78 / $239.78 / $239.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.04 / $239.78 / $239.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.39 / $247.77 / $1,982.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.28 / $244.37 / $417.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.02 / $247.02 / $247.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.28 / $196.63 / $278.63