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Oklahoma rates for HCPCS L1000

Cervical-thoracic-lumbar-sacral orthosis (CTLSO) (Milwaukee), inclusive of furnishing initial orthotic, including model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,288.25 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $2,630.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,659.59 / $7,762.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,202.26 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,995.26 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,148.15 / $1,621.81