go back

Oklahoma rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.66 / $220.66 / $220.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.66 / $252.18 / $252.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.14 / $437.14 / $437.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.41 / $450.32 / $450.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.77 / $293.77 / $293.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $293.77 / $293.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.24 / $308.87 / $2,270.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.69 / $278.86 / $508.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.40 / $479.40 / $479.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.69 / $232.63 / $317.89