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Oklahoma rates for HCPCS L1640

Hip orthosis (HO), abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.06 / $283.06 / $417.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.58 / $283.06 / $283.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.04 / $379.04 / $379.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.70 / $276.70 / $661.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.43 / $359.53 / $2,777.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.90 / $285.33 / $592.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.82 / $259.82 / $259.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.90 / $259.33 / $372.06