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Oklahoma rates for HCPCS L5321

Above knee (AK), molded socket, open end, SACH foot, endoskeletal system, single axis knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,344.23 / $4,073.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,388.44 / $3,548.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,090.30 / $14,125.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,630.27 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,570.88 / $4,570.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,089.30 / $2,951.21