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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
$1,175.80 / $1,175.80 / $1,732.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.25 / $1,175.80 / $1,219.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.97 / $1,499.97 / $1,499.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.98 / $1,499.97 / $1,499.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.66 / $1,541.58 / $12,090.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.72 / $1,188.79 / $2,459.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.72 / $1,141.07 / $1,637.03