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Oklahoma rates for HCPCS L5910

Addition, endoskeletal system, below knee (BK), alignable system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.68 / $248.68 / $248.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.68 / $248.68 / $284.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.66 / $492.66 / $579.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.79 / $507.52 / $507.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.20 / $281.20 / $281.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.28 / $281.20 / $325.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $348.11 / $2,291.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.58 / $286.58 / $566.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.58 / $261.33 / $326.75