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Oklahoma rates for HCPCS L2500

Addition to lower extremity, thigh/weight bearing, gluteal/ischial weight bearing, ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $199.53 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $389.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $257.04 / $1,288.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $199.53 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $331.13 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $177.83 / $257.04