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Oklahoma rates for HCPCS L5050

Ankle, Symes, molded socket, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,489.72 / $1,489.72 / $1,489.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.72 / $1,654.37 / $1,702.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.67 / $3,040.24 / $3,040.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.13 / $2,084.13 / $2,084.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.41 / $2,084.13 / $2,084.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.16 / $2,085.33 / $14,469.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.13 / $1,815.91 / $3,435.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.80 / $1,815.91 / $2,070.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.13 / $1,565.56 / $2,070.03