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Oklahoma rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

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
$10.96 / $12.88 / $20.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $25.12 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $22.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $16.98 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $14.13 / $38.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $30.20 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $13.49 / $22.39