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Oklahoma rates for HCPCS L8000

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.32 / $19.32 / $383.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $22.08 / $26.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.77 / $33.77 / $33.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.15 / $39.42 / $39.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $35.00 / $35.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.55 / $29.97 / $35.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $27.05 / $230.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.58 / $25.71 / $44.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.58 / $21.86 / $32.93