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Oklahoma rates for HCPCS L4030

Replace Quadrilateral Socket Brim, Custom Fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.81 / $350.81 / $517.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.81 / $341.62 / $350.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.88 / $477.88 / $477.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.85 / $348.85 / $856.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.20 / $459.94 / $3,084.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.18 / $344.96 / $724.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.18 / $283.76 / $407.10