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Oklahoma rates for HCPCS L5510

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.59 / $878.59 / $878.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.59 / $1,004.10 / $1,004.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.24 / $1,375.24 / $1,375.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.93 / $1,375.24 / $1,375.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.79 / $1,229.84 / $9,328.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.16 / $1,151.98 / $2,072.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.16 / $923.31 / $1,313.18