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Oklahoma rates for HCPCS L5984

All Endoskeletal Lower Extremity Prostheses Axial Rotation Unit With Or Without Adjustability (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.22 / $346.22 / $346.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.22 / $346.22 / $395.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.92 / $806.92 / $806.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.10 / $706.57 / $706.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.25 / $427.25 / $427.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $427.25 / $427.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.22 / $484.65 / $3,613.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.41 / $450.76 / $816.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.41 / $375.19 / $513.84