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Oklahoma rates for HCPCS L4090

Replace Metal Bands Kafo-Afo, Calf Or Distal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.86 / $60.86 / $89.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.60 / $60.86 / $60.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.70 / $112.70 / $112.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.72 / $66.72 / $66.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.71 / $66.72 / $66.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.76 / $77.76 / $538.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.84 / $59.85 / $126.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.98 / $61.98 / $61.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.84 / $53.52 / $73.50