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Oklahoma rates for HCPCS L1210

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lateral thoracic extension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.38 / $139.38 / $205.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.22 / $139.38 / $177.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.45 / $258.12 / $258.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.69 / $190.69 / $190.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.19 / $190.69 / $190.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.94 / $182.74 / $1,539.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.04 / $147.07 / $291.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.04 / $140.93 / $210.98