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Oklahoma rates for HCPCS L4210

Repair of orthotic device, repair or replace minor parts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.65 / $47.65 / $47.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.22 / $117.89 / $117.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $90.00