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Oklahoma rates for HCPCS L5540

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.25 / $1,096.25 / $1,096.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.25 / $1,252.85 / $1,252.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,171.75 / $2,171.75 / $2,171.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,824.09 / $2,237.25 / $2,237.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.98 / $1,599.98 / $1,599.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,599.98 / $1,599.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.67 / $1,534.55 / $11,580.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.52 / $1,432.15 / $2,586.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.52 / $1,187.96 / $1,632.56