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Oklahoma rates for HCPCS L0976

Lumbar-sacral orthosis (LSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $107.15 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $208.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $134.90 / $660.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $100.00 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $169.82 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $89.13 / $128.82