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Oklahoma rates for HCPCS L4100

Replace Leather Cuff Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.49 / $62.49 / $92.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.18 / $62.49 / $64.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.43 / $73.43 / $73.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $73.42 / $73.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.85 / $81.94 / $621.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.08 / $62.99 / $130.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.08 / $58.63 / $84.10