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Oklahoma rates for HCPCS L5649

Addition To Lower Extremity Ischial Containment/Narrow M-L Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.25 / $1,251.25 / $1,251.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.25 / $1,251.25 / $1,430.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,478.82 / $2,478.82 / $2,478.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,081.98 / $2,553.57 / $2,553.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $1,800.00 / $1,800.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.00 / $1,800.00 / $1,975.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.00 / $1,751.51 / $11,959.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.04 / $1,506.51 / $2,850.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.04 / $1,355.92 / $1,717.33