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Oklahoma rates for HCPCS L1260

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.60 / $43.60 / $64.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.98 / $43.60 / $51.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.73 / $80.73 / $80.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.02 / $71.02 / $71.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $71.02 / $71.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.45 / $57.17 / $457.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.34 / $44.08 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.34 / $42.52 / $61.00