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Oklahoma rates for HCPCS L5962

Addition Endoskeletal System Below Knee Flexible Protective Outer Surface Covering System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.70 / $326.70 / $326.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.70 / $373.37 / $376.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.61 / $666.74 / $666.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.56 / $448.56 / $448.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $448.56 / $448.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.22 / $457.33 / $3,726.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.64 / $465.10 / $770.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.15 / $470.15 / $470.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.64 / $362.93 / $530.29