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Oklahoma rates for HCPCS L5645

Addition To Lower Extremity Below Knee Flexible Inner Socket External Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.73 / $411.73 / $411.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.73 / $411.73 / $470.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.67 / $815.67 / $959.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.09 / $840.27 / $840.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.09 / $694.09 / $694.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.69 / $694.09 / $725.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.44 / $576.34 / $4,987.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.51 / $631.34 / $1,030.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.51 / $477.77 / $719.69