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Oklahoma rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $371.54 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $812.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $407.38 / $2,041.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $371.54 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $524.81 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $309.03 / $457.09