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Oklahoma rates for HCPCS L1230

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), Milwaukee type superstructure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.81 / $302.81 / $446.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.60 / $302.81 / $341.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.16 / $400.16 / $400.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $400.16 / $400.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.26 / $384.63 / $3,392.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.00 / $319.49 / $633.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.80 / $725.80 / $725.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.00 / $312.83 / $458.35