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Oklahoma rates for HCPCS L5690

Addition to lower extremity, below knee (BK), waist belt, padded and lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.56 / $55.56 / $55.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.56 / $63.50 / $63.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.44 / $97.44 / $97.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.13 / $97.44 / $97.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.83 / $77.78 / $629.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.06 / $77.42 / $131.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.11 / $133.11 / $133.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.06 / $61.72 / $88.28