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Oklahoma rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.15 / $39.15 / $39.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.15 / $39.15 / $44.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.37 / $79.91 / $79.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $50.66 / $50.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $50.66 / $50.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.11 / $54.81 / $423.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.96 / $53.45 / $92.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.96 / $42.43 / $60.92