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Oklahoma rates for HCPCS L5647

Addition To Lower Extremity Below Knee Suction Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.64 / $409.64 / $409.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.64 / $468.17 / $472.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.62 / $836.01 / $836.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.58 / $596.58 / $596.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.50 / $435.50 / $1,107.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.50 / $573.42 / $5,050.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.54 / $629.41 / $966.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.99 / $629.41 / $717.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.54 / $455.08 / $717.49