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Oklahoma rates for HCPCS L5672

Addition To Lower Extremity Below Knee Removable Medial Brim Suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.56 / $153.56 / $153.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.56 / $175.50 / $177.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.81 / $297.81 / $297.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $297.81 / $297.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.27 / $214.95 / $1,867.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.03 / $235.94 / $362.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.03 / $171.10 / $268.95