go back

Oklahoma rates for HCPCS L2624

Addition To Lower Extremity Pelvic Control Hip Joint Adjustable Flexion Extension Abduction Control Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.41 / $189.41 / $279.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.40 / $189.41 / $224.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.76 / $350.76 / $350.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.02 / $291.02 / $291.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $291.02 / $291.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.15 / $248.34 / $2,011.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.08 / $191.50 / $396.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.40 / $186.11 / $224.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.08 / $186.11 / $267.01