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Oklahoma rates for HCPCS L1290

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.87 / $41.87 / $61.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.32 / $41.87 / $53.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.76 / $77.54 / $77.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.55 / $60.55 / $60.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $60.55 / $60.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $54.90 / $470.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.45 / $44.18 / $87.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.35 / $100.35 / $100.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.45 / $43.25 / $63.37