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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
$57.18 / $57.18 / $84.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.06 / $56.34 / $57.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.68 / $71.68 / $71.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $71.68 / $71.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.21 / $74.95 / $496.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $56.22 / $118.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.31 / $106.31 / $106.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $46.79 / $67.13