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Oklahoma rates for HCPCS L1110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.26 / $137.26 / $202.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.16 / $137.26 / $164.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.30 / $225.30 / $225.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.47 / $225.30 / $225.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.67 / $179.96 / $1,533.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.70 / $143.54 / $287.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.08 / $326.08 / $326.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.70 / $140.55 / $205.93