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Oklahoma rates for HCPCS L5670

Addition to lower extremity, below knee (BK), molded supracondylar suspension (PTS or similar)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.32 / $186.32 / $186.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.32 / $195.61 / $212.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.73 / $380.25 / $380.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.51 / $203.51 / $203.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.56 / $203.51 / $203.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.90 / $260.81 / $1,717.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.32 / $214.70 / $424.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.32 / $206.98 / $244.81