go back

Oklahoma rates for HCPCS L2188

Addition to lower extremity fracture orthosis, quadrilateral brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $204.17 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $371.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $245.47 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $186.21 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $316.23 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $169.82 / $239.88