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Oklahoma rates for HCPCS L5682

Addition to lower extremity, below knee (BK), thigh lacer, gluteal/ischial, molded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $660.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $870.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $489.78 / $2,344.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $436.52 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $616.60 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $363.08 / $562.34