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Oklahoma rates for HCPCS L4205

Repair Of Orthotic Device Labor Component Per 15 Minutes (Special Coverage Instructions Apply. See Mcm: 2100.4)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.57 / $12.01 / $13.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.62 / $25.20 / $25.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.22 / $22.22 / $22.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $22.22 / $24.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.00 / $16.17 / $159.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $14.24 / $31.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $14.02 / $23.05