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Oklahoma rates for HCPCS L1700

Legg Perthes orthosis, (Toronto type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.76 / $913.76 / $1,346.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.92 / $913.76 / $1,033.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.63 / $1,212.63 / $1,212.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.22 / $1,212.63 / $1,212.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.10 / $1,160.66 / $9,141.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.20 / $921.12 / $1,911.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.20 / $858.30 / $1,231.33