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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
$190.55 / $190.55 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $223.87 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $478.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $257.04 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $190.55 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $338.84 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $186.21 / $269.15