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Oklahoma rates for HCPCS L1025

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad, floating

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.43 / $66.43 / $97.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.97 / $66.43 / $76.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.11 / $89.11 / $89.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.05 / $89.11 / $89.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.25 / $87.09 / $757.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.72 / $70.09 / $138.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.88 / $68.62 / $100.55