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Oklahoma rates for HCPCS L5585

Preparatory Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Prefabricated Adjustable Open End Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,458.25 / $1,458.25 / $1,458.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.25 / $1,666.58 / $1,724.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,024.99 / $2,976.03 / $2,976.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,571.77 / $2,571.77 / $2,571.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.39 / $2,571.77 / $2,571.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.06 / $2,041.28 / $16,090.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.36 / $2,024.50 / $3,440.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.36 / $1,580.24 / $2,307.80