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Oklahoma rates for HCPCS L5990

Addition To Lower Extremity Prosthesis User Adjustable Heel Height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.70 / $944.70 / $944.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.70 / $1,079.65 / $1,089.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.85 / $1,927.95 / $1,927.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.54 / $1,222.54 / $1,222.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $892.45 / $2,539.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.14 / $1,322.41 / $10,198.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.72 / $1,289.83 / $2,228.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.37 / $2,217.37 / $2,217.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.72 / $1,041.15 / $1,470.32