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Oklahoma rates for HCPCS L5632

Addition to lower extremity, Symes type, PTB brim design socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.35 / $114.35 / $114.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.35 / $130.68 / $145.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.78 / $233.36 / $233.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.52 / $166.52 / $166.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.56 / $166.52 / $166.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.83 / $160.07 / $1,389.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.64 / $175.69 / $269.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.64 / $132.94 / $200.28