go back

Oklahoma rates for HCPCS L1050

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $56.23 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $102.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $77.62 / $371.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $57.54 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $97.72 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $46.77 / $67.61