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Oklahoma rates for HCPCS L4130

Replace pretibial shell

Facilitymedian $339 · 10th–90th $295–$9550%20%10th90th$339Professionalmedian $309 · 10th–90th $245–$4470%20%40%10th90th$309$200.0$500.0$1.0K$2.0K

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
$309.03 / $309.03 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $309.03 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $676.08
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $436.52 / $2,951.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $309.03 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $380.19 / $645.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $281.84 / $398.11