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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
$44.67 / $44.67 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $44.67 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $79.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $60.26 / $295.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $45.71 / $117.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $75.86 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $35.48 / $51.29