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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
$281.80 / $281.80 / $281.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.80 / $322.06 / $322.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.11 / $575.11 / $575.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.18 / $452.18 / $452.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $452.18 / $452.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.93 / $394.47 / $3,241.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.40 / $405.14 / $664.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.49 / $696.49 / $696.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.40 / $313.06 / $461.84