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Oklahoma rates for HCPCS L5920

Addition, endoskeletal system, above knee (AK) or hip disarticulation, alignable system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.32 / $364.32 / $364.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.31 / $364.32 / $416.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.75 / $721.75 / $721.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.20 / $743.52 / $743.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.94 / $397.94 / $397.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.50 / $397.94 / $490.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.11 / $509.99 / $3,385.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.81 / $419.84 / $829.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.81 / $382.87 / $478.70