go back

Oklahoma rates for HCPCS L5200

Above Knee Molded Socket Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.86 / $1,949.86 / $1,949.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.86 / $2,228.41 / $2,228.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,707.64 / $3,979.31 / $3,979.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,728.17 / $2,728.17 / $2,728.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.56 / $1,991.56 / $5,087.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.01 / $2,729.43 / $20,802.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.72 / $2,613.91 / $4,600.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.72 / $2,112.96 / $2,979.70