go back

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
$195.97 / $195.97 / $288.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.71 / $195.97 / $195.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.89 / $243.89 / $243.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.04 / $178.04 / $437.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.47 / $256.93 / $1,827.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.21 / $197.54 / $409.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.21 / $177.31 / $254.37