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Oklahoma rates for HCPCS L1290

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

Facilitymedian $50 · 10th–90th $41–$1320%20%10th90th$50Professionalmedian $50 · 10th–90th $39–$780%10%20%10th90th$50$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $48.98 / $58.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $77.62 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $97.72
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $60.26 / $467.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $44.67 / $107.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $63.10 / $102.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $42.66 / $63.10