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Oklahoma rates for HCPCS L5671

Addition to lower extremity, below knee (BK)/above knee (AK) suspension locking mechanism (shuttle, lanyard, or equal), excludes socket insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.08 / $296.08 / $296.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.08 / $296.08 / $338.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.55 / $586.57 / $690.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.67 / $604.26 / $604.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $380.63 / $380.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $380.63 / $498.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.28 / $414.47 / $3,301.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.56 / $393.58 / $698.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.56 / $317.70 / $448.76