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Oklahoma rates for HCPCS L5980

All lower extremity prostheses, flex-foot system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,019.62 / $2,019.62 / $2,019.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,019.62 / $2,308.14 / $2,308.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,360.52 / $4,121.68 / $4,121.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,780.72 / $2,780.72 / $2,780.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.93 / $2,780.72 / $2,780.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,433.28 / $2,827.09 / $23,421.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.08 / $2,933.77 / $4,765.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.08 / $2,243.61 / $3,344.31