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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
$363.08 / $363.08 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $380.19 / $537.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $467.74 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $691.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $524.81 / $2,630.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $407.38 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $676.08 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $346.74 / $478.63