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Oklahoma rates for HCPCS L5620

Addition to lower extremity, test socket, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.89 / $190.89 / $190.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.88 / $190.89 / $218.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.17 / $378.17 / $444.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.64 / $389.58 / $389.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.59 / $209.59 / $209.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $209.59 / $230.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.47 / $267.20 / $1,729.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.98 / $219.98 / $434.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.27 / $219.98 / $250.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.98 / $212.07 / $250.77