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Oklahoma rates for HCPCS L5020

Partial foot, molded socket, tibial tubercle height, with toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.40 / $1,183.40 / $1,183.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.40 / $1,352.46 / $1,352.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.09 / $2,415.10 / $2,415.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.28 / $1,486.28 / $1,486.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.98 / $1,486.28 / $1,486.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.08 / $1,656.53 / $12,494.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.10 / $1,568.08 / $2,792.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.89 / $1,428.89 / $1,428.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.10 / $1,282.39 / $1,787.52