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Oklahoma rates for HCPCS L5700

Replacement, socket, below knee (BK), molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,475.38 / $1,475.38 / $1,475.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.38 / $1,475.38 / $1,686.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.91 / $3,010.97 / $3,010.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $2,400.00 / $2,400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.00 / $2,400.00 / $2,700.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.63 / $2,065.23 / $17,077.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.20 / $2,166.90 / $3,693.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.20 / $1,639.81 / $2,470.14