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Oklahoma rates for HCPCS L1650

Hip orthosis (HO), abduction control of hip joints, static, adjustable, (Ilfled type), prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.99 / $129.99 / $191.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.17 / $129.99 / $156.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.78 / $190.78 / $190.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.27 / $190.78 / $190.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.01 / $170.42 / $1,353.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.76 / $131.41 / $271.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.76 / $130.13 / $186.68