go back

Oklahoma rates for HCPCS L5668

Addition to lower extremity, below knee (BK), molded distal cushion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $72.44 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $134.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $102.33 / $501.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $79.43 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $128.82 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $66.07 / $91.20