go back

Oklahoma rates for HCPCS L5301

Below Knee, Molded Socket, Shin, Sach Foot, Endoskeletal System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,420.26 / $1,420.26 / $1,420.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.26 / $1,623.15 / $1,634.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,310.16 / $3,310.16 / $3,310.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,363.23 / $2,898.49 / $2,898.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,721.98 / $1,721.98 / $1,721.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.05 / $1,721.98 / $1,721.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.57 / $1,988.10 / $14,785.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.56 / $1,816.76 / $3,273.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,123.22 / $3,123.22 / $3,123.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.56 / $1,577.78 / $2,071.00