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Oklahoma rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Facilitymedian $65 · 10th–90th $52–$1860%20%10th90th$65Professionalmedian $58 · 10th–90th $47–$830%20%10th90th$58$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $57.54 / $81.28
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $117.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $85.11 / $537.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $61.66 / $158.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $69.18 / $117.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $51.29 / $72.44