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Oklahoma rates for HCPCS L5978

All lower extremity prostheses, foot, multiaxial ankle/foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.27 / $175.27 / $175.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.27 / $200.31 / $200.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.69 / $357.69 / $357.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.19 / $243.19 / $243.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.53 / $243.19 / $243.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.81 / $245.34 / $1,857.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.50 / $230.91 / $413.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.86 / $192.63 / $263.23