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Oklahoma rates for HCPCS L5964

Addition, endoskeletal system, above knee (AK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.29 / $482.29 / $482.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.29 / $551.19 / $556.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.50 / $984.26 / $984.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.38 / $702.38 / $702.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $702.38 / $702.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.03 / $675.11 / $5,917.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.85 / $741.03 / $1,137.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.85 / $560.78 / $844.74