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Oklahoma rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,187.76 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $4,570.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,691.53 / $13,489.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,511.89 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,691.53 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,041.74 / $3,019.95