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Oklahoma rates for HCPCS L1610

Hip Orthosis Abduction Control Of Hip Joints Flexible (Frejka Cover Only) Prefabricated Item That Has Been Trimmed Bent Molded Assembled Orotherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.25 / $24.25 / $35.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.35 / $24.25 / $26.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.91 / $30.91 / $30.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.56 / $30.91 / $30.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $31.79 / $263.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.45 / $24.67 / $50.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.73 / $24.67 / $35.40