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Oklahoma rates for HCPCS L2630

Addition to lower extremity, pelvic control, band and belt, unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $154.88 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $288.40 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $309.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $208.93 / $1,023.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $158.49 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $263.03 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $138.04 / $199.53