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Oklahoma rates for HCPCS L5692

Addition to lower extremity, above knee (AK), pelvic control belt, light

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.24 / $91.24 / $91.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.24 / $95.79 / $104.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.74 / $180.74 / $180.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.20 / $186.20 / $186.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.66 / $99.66 / $99.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.75 / $99.66 / $99.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.37 / $127.73 / $840.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.04 / $105.14 / $207.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.04 / $95.89 / $119.86