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Oklahoma rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.26 / $1,040.26 / $1,040.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.25 / $1,040.26 / $1,188.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.92 / $2,122.96 / $2,122.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $1,346.19 / $1,346.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $1,346.19 / $1,346.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.87 / $1,456.16 / $11,271.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.54 / $1,420.28 / $2,454.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.54 / $1,127.27 / $1,619.04