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Oklahoma rates for HCPCS L2628

Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.48 / $892.48 / $1,315.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.42 / $892.48 / $1,133.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.74 / $1,652.74 / $1,652.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.41 / $1,179.41 / $1,179.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.97 / $1,179.40 / $1,179.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.91 / $1,170.11 / $10,013.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.76 / $941.64 / $1,866.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.76 / $902.33 / $1,350.91