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Oklahoma rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.72 / $27.72 / $27.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.72 / $31.68 / $31.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.49 / $56.58 / $56.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $37.36 / $37.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $37.36 / $37.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.60 / $38.79 / $305.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $38.08 / $65.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $30.04 / $43.41