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Oklahoma rates for HCPCS L5979

All Lower Extremity Prosthesis Multi-Axial Ankle Dynamic Response Foot One Piece System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.05 / $1,175.05 / $1,175.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.05 / $1,342.92 / $1,355.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.07 / $2,398.07 / $2,398.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,711.28 / $1,711.28 / $1,711.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.23 / $1,711.28 / $1,711.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.05 / $1,644.85 / $14,301.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.86 / $1,805.47 / $2,772.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.86 / $1,309.25 / $2,058.12