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Oklahoma rates for HCPCS L5651

Addition to lower extremity, above knee (AK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.59 / $824.59 / $824.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.59 / $824.59 / $942.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,633.58 / $1,633.58 / $1,633.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,372.07 / $1,682.84 / $1,682.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.11 / $1,200.11 / $1,200.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.09 / $1,200.11 / $1,200.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.23 / $1,154.27 / $7,578.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.40 / $950.24 / $1,876.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.40 / $916.05 / $1,083.46