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Oklahoma rates for HCPCS L1030

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.18 / $45.18 / $66.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.51 / $43.51 / $45.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.67 / $83.67 / $83.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.95 / $52.95 / $52.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $52.95 / $52.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.08 / $57.39 / $377.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.84 / $44.43 / $93.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $39.40 / $53.86