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Oklahoma rates for HCPCS L4010

Replace trilateral socket brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $457.09 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $933.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $512.86 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $380.19 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $616.60 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $371.54 / $537.03