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Oklahoma rates for HCPCS L0641

Lumbar orthosis (LO), sagittal control, with rigid posterior panel(s), posterior extends from L-1 to below L-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.02 / $33.02 / $33.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.80 / $33.02 / $52.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.26 / $61.15 / $61.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.17 / $52.17 / $52.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.34 / $52.17 / $59.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.91 / $34.67 / $256.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.91 / $45.14 / $81.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.91 / $44.34 / $65.68