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Oklahoma rates for HCPCS L5925

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.72 / $230.72 / $230.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.71 / $230.72 / $263.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.06 / $457.06 / $457.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.38 / $470.85 / $470.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.88 / $260.88 / $260.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.44 / $260.88 / $260.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.88 / $322.95 / $2,277.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.13 / $265.87 / $525.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.13 / $256.30 / $303.07