go back

Oklahoma rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.26 / $27.26 / $27.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.26 / $28.62 / $31.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.64 / $55.64 / $55.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.78 / $29.78 / $29.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.74 / $29.77 / $29.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.35 / $38.15 / $253.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $31.42 / $62.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $28.65 / $35.82