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Oklahoma rates for HCPCS L5985

All endoskeletal lower extremity prostheses, dynamic prosthetic pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.03 / $147.03 / $147.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.03 / $168.04 / $169.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.18 / $300.07 / $300.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.51 / $220.51 / $220.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $220.51 / $220.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.71 / $205.83 / $1,599.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.93 / $202.05 / $346.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.93 / $159.34 / $230.32