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Oklahoma rates for HCPCS L2640

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.05 / $205.05 / $302.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.46 / $205.05 / $205.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.73 / $379.73 / $379.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.57 / $236.57 / $236.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $236.56 / $236.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.94 / $268.85 / $2,077.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.92 / $206.71 / $428.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.92 / $188.88 / $270.97