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Oklahoma rates for HCPCS L5630

Addition to lower extremity, Symes type, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.38 / $266.38 / $266.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.38 / $304.43 / $304.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.63 / $543.63 / $543.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.88 / $393.88 / $393.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.52 / $287.52 / $768.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.49 / $372.88 / $2,807.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.16 / $355.11 / $628.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.49 / $295.93 / $404.80