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Oklahoma rates for HCPCS L1220

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.88 / $134.88 / $198.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.90 / $134.88 / $134.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.80 / $249.80 / $249.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.61 / $185.61 / $185.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.50 / $185.61 / $185.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.38 / $176.86 / $1,347.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.01 / $135.97 / $282.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.26 / $195.26 / $195.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.01 / $124.52 / $178.63