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Oklahoma rates for HCPCS L1100

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, ring flange, plastic or leather

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $104.71 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $213.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $131.83 / $616.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $95.50 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $158.49 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $89.13 / $128.82