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Oklahoma rates for HCPCS L5961

Addition Endoskeletal System Polycentric Hip Joint Pneumatic Or Hydraulic Control With Or Without Flexion And/Or Extension Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,455.41 / $2,455.41 / $2,455.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,455.41 / $2,806.19 / $2,806.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.42 / $3,728.42 / $3,728.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.75 / $3,728.42 / $3,728.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,806.19 / $3,762.02 / $26,807.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,708.34 / $3,386.19 / $5,793.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,708.34 / $2,727.73 / $3,856.19