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Oklahoma rates for HCPCS L4130

Replace Pretibial Shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.02 / $308.02 / $453.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.62 / $308.02 / $335.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.57 / $373.57 / $373.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $373.57 / $373.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.02 / $403.85 / $2,938.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.90 / $310.51 / $644.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.85 / $278.85 / $364.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.90 / $278.85 / $400.04