go back

Oklahoma rates for HCPCS L5220

Above Knee Short Prosthesis No Knee Joint (Stubbies) With Articulated Ankle/Foot Dynamically Aligned Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,810.66 / $1,810.66 / $1,810.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,810.66 / $1,988.34 / $2,069.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,695.23 / $3,695.23 / $3,695.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,482.86 / $2,482.86 / $2,482.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.49 / $2,482.86 / $2,482.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.25 / $2,534.58 / $17,674.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.07 / $2,182.50 / $4,129.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.54 / $2,182.50 / $2,488.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.07 / $1,902.84 / $2,488.46