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Oklahoma rates for HCPCS L4110

Replace leather cuff KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.99 / $49.99 / $73.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.14 / $49.99 / $50.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $61.81 / $61.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $61.81 / $61.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.77 / $65.54 / $510.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.78 / $50.54 / $104.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.32 / $47.67 / $68.38