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Oklahoma rates for HCPCS L5705

Custom shaped protective cover, above knee (AK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.17 / $493.17 / $493.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.17 / $563.62 / $568.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.60 / $1,006.47 / $1,006.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.43 / $895.43 / $895.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.66 / $895.43 / $895.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.09 / $690.34 / $5,814.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.82 / $735.02 / $1,163.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.82 / $549.50 / $838.07