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Oklahoma rates for HCPCS L1900

Ankle-foot orthosis (AFO), spring wire, dorsiflexion assist calf band, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $181.97 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $346.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $245.47 / $1,202.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $186.21 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $309.03 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $151.36 / $218.78