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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
$186.21 / $186.21 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $194.98 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $239.88 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $354.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $275.42 / $1,348.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $208.93 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $346.74 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $177.83 / $245.47