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Oklahoma rates for HCPCS L1630

Hip orthosis (HO), abduction control of hip joints, semi-flexible (Von Rosen type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.27 / $90.27 / $133.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.92 / $90.27 / $103.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.29 / $119.29 / $119.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.08 / $87.08 / $295.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.48 / $118.35 / $980.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.49 / $95.24 / $188.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.49 / $93.25 / $136.63