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Oklahoma rates for HCPCS L0635

Lumbar-sacral orthosis (LSO), sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.82 / $566.69 / $835.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.70 / $566.69 / $647.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.07 / $1,049.42 / $1,049.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.81 / $711.81 / $711.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.62 / $711.81 / $711.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.31 / $719.82 / $5,716.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.66 / $572.95 / $1,185.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.66 / $537.98 / $771.81