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Oklahoma rates for HCPCS L5950

Addition, endoskeletal system, above knee (AK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $562.34 / $776.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $776.25 / $3,890.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $588.84 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,000.00 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $512.86 / $707.95