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Oklahoma rates for HCPCS L5950

Addition Endoskeletal System Above Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.21 / $534.21 / $534.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.21 / $534.21 / $610.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.31 / $1,058.31 / $1,058.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.89 / $1,090.22 / $1,090.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.49 / $583.49 / $583.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.95 / $583.49 / $685.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.75 / $747.79 / $4,826.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.58 / $615.61 / $1,215.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.72 / $466.72 / $466.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.58 / $561.40 / $701.92