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Oklahoma rates for HCPCS L5974

All lower extremity prostheses, foot, single axis ankle/foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.51 / $136.51 / $136.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.51 / $156.01 / $156.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.58 / $278.58 / $278.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.77 / $174.77 / $174.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $174.77 / $174.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.08 / $191.09 / $1,528.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.02 / $184.39 / $322.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.02 / $147.91 / $210.19