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Oklahoma rates for HCPCS L5230

Above knee (AK), for proximal femoral focal deficiency, constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,146.14 / $2,146.14 / $2,146.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.14 / $2,452.73 / $2,452.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,980.20 / $4,379.87 / $4,379.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,853.06 / $2,853.06 / $2,853.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,082.73 / $2,853.06 / $2,853.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,470.57 / $3,004.18 / $24,371.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.59 / $3,010.10 / $5,063.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.59 / $2,325.67 / $3,431.32