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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
$363.08 / $363.08 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $398.11 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $724.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $524.81 / $2,630.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $436.52 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $676.08 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $363.08 / $489.78