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Oklahoma rates for HCPCS L1040

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.23 / $47.23 / $69.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.48 / $47.23 / $57.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.52 / $87.47 / $87.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.78 / $66.78 / $66.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.75 / $66.78 / $66.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.31 / $61.94 / $471.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.23 / $47.62 / $98.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.60 / $99.60 / $99.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.23 / $43.85 / $62.90