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Oklahoma rates for HCPCS L1250

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.33 / $43.33 / $63.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.72 / $43.33 / $48.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.23 / $80.23 / $80.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.62 / $61.62 / $61.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.98 / $61.62 / $61.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.21 / $56.81 / $434.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.07 / $43.68 / $90.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.07 / $41.32 / $58.25