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Oklahoma rates for HCPCS L8039

Breast prosthesis, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $776.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $100.00