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Oklahoma rates for HCPCS L4370

Pneumatic full leg splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.56 / $100.56 / $148.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.84 / $100.56 / $127.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.72 / $186.23 / $186.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.11 / $150.11 / $150.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.58 / $150.11 / $150.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.50 / $131.85 / $1,107.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.73 / $106.10 / $210.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.73 / $101.68 / $152.22