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Oklahoma rates for HCPCS L8420

Prosthetic Sock Multiple Ply Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.71 / $10.71 / $10.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.71 / $10.71 / $12.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.21 / $21.21 / $24.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $21.85 / $21.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.29 / $16.29 / $16.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $29.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.52 / $14.99 / $125.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $15.39 / $24.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.45 / $26.45 / $26.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $11.65 / $17.54