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Oklahoma rates for HCPCS L1240

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lumbar derotation pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.66 / $44.66 / $65.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.01 / $44.66 / $52.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.71 / $82.71 / $82.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $62.81 / $62.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $62.81 / $62.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.17 / $58.56 / $468.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.10 / $45.16 / $93.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.10 / $43.64 / $62.61