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Oklahoma rates for HCPCS L4045

Replace nonmolded thigh lacer, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.74 / $174.74 / $257.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.27 / $174.74 / $196.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.60 / $323.60 / $323.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.92 / $230.92 / $230.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.57 / $230.92 / $230.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.03 / $229.10 / $1,940.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.91 / $184.37 / $365.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.91 / $176.67 / $264.50