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Oklahoma rates for HCPCS L5500

Initial Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.01 / $739.01 / $739.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.01 / $844.59 / $844.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.22 / $963.22 / $963.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.15 / $963.22 / $963.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.48 / $1,034.48 / $8,261.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.69 / $1,016.24 / $1,743.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.69 / $820.97 / $1,158.45