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Oklahoma rates for HCPCS L4000

Replace Girdle For Spinal Orthotic (Cervic-Thoracic-Lumbar-Sacor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.79 / $717.79 / $1,057.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.20 / $717.79 / $783.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.58 / $897.58 / $897.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.23 / $655.23 / $1,845.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.65 / $941.09 / $7,517.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.75 / $725.72 / $1,501.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.27 / $957.27 / $957.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.75 / $716.63 / $1,028.09