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Oklahoma rates for HCPCS L5629

Addition To Lower Extremity Below Knee Acrylic Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.21 / $218.21 / $218.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.21 / $218.21 / $249.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.57 / $508.57 / $508.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.09 / $445.33 / $445.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.05 / $248.05 / $248.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.08 / $248.05 / $300.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.85 / $305.45 / $2,003.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.86 / $251.46 / $496.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.86 / $236.47 / $286.70