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Oklahoma rates for HCPCS L1120

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.88 / $24.88 / $36.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.96 / $24.88 / $26.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.64 / $29.64 / $29.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $21.64 / $53.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.41 / $32.61 / $237.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $25.08 / $52.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $22.32 / $32.02