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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
$2,041.74 / $2,041.74 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,570.40 / $3,890.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,168.69 / $4,168.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,019.95 / $14,454.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,691.53 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,801.89 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,238.72 / $3,311.31