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Oklahoma rates for HCPCS L5520

Preparatory Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Thermoplastic Or Equal Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.42 / $987.42 / $987.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.42 / $1,036.65 / $1,128.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.72 / $1,232.72 / $1,232.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.89 / $1,232.72 / $1,232.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.90 / $1,382.21 / $9,329.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.05 / $1,137.88 / $2,247.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.05 / $1,037.69 / $1,297.10