go back

Oklahoma rates for HCPCS L5668

Addition To Lower Extremity Below Knee Molded Distal Cushion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.34 / $69.34 / $69.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.34 / $69.34 / $79.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.37 / $137.37 / $161.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.29 / $141.51 / $141.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.19 / $89.19 / $89.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.11 / $89.19 / $89.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.04 / $97.06 / $645.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.31 / $79.90 / $157.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.31 / $77.03 / $91.08