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Oklahoma rates for HCPCS L5530

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.44 / $1,020.44 / $1,020.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.44 / $1,166.22 / $1,166.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,082.54 / $2,082.54 / $2,082.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.39 / $1,295.39 / $1,295.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.63 / $1,295.39 / $1,295.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.69 / $1,428.43 / $10,873.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.50 / $1,366.70 / $2,407.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.50 / $1,072.40 / $1,557.95