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Oklahoma rates for HCPCS L8020

Breast prosthesis, mastectomy form

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $117.00 / $117.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.00 / $133.72 / $135.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.69 / $238.78 / $238.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $170.64 / $170.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.57 / $124.57 / $170.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.55 / $163.79 / $1,269.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.08 / $155.72 / $269.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.08 / $129.97 / $180.95