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Oklahoma rates for HCPCS L5688

Addition to lower extremity, below knee (BK), waist belt, webbing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $44.03 / $45.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.70 / $80.70 / $80.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.81 / $45.81 / $45.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.44 / $45.81 / $45.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $55.36 / $392.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.38 / $48.34 / $91.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.38 / $41.56 / $55.10