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Oklahoma rates for HCPCS L1900

Ankle Foot Orthosis Spring Wire Dorsiflexion Assist Calf Band Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.54 / $184.54 / $272.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.70 / $182.54 / $184.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.74 / $341.74 / $341.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.91 / $189.91 / $189.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.63 / $189.91 / $189.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.89 / $234.41 / $1,586.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.08 / $181.47 / $381.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.72 / $167.14 / $222.88