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Oklahoma rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.81 / $217.81 / $321.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.50 / $209.74 / $217.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $215.87 / $215.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $215.87 / $215.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.27 / $285.57 / $1,848.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.90 / $214.18 / $449.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.90 / $172.36 / $247.27