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Oklahoma rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.27 / $366.27 / $366.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.27 / $394.97 / $418.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.49 / $747.49 / $747.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $410.92 / $410.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $410.92 / $410.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.80 / $512.71 / $3,432.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.72 / $433.54 / $833.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.72 / $406.89 / $494.21