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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
$177.83 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $223.87 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $426.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $263.03 / $1,288.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $223.87 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $331.13 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $186.21 / $275.42