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Oklahoma rates for HCPCS L8002

Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.91 / $85.91 / $85.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.91 / $98.18 / $99.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.30 / $175.33 / $175.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.62 / $120.62 / $120.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.05 / $120.62 / $120.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.30 / $120.26 / $927.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.18 / $114.35 / $198.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.59 / $95.44 / $133.15