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Oklahoma rates for HCPCS L4020

Replace quadrilateral socket brim, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.45 / $536.45 / $790.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.58 / $536.45 / $550.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.98 / $751.98 / $751.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.95 / $548.95 / $1,347.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.52 / $703.34 / $5,145.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.74 / $540.77 / $1,122.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.00 / $484.10 / $633.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.74 / $484.10 / $694.51