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Oklahoma rates for HCPCS L1902

Ankle orthosis (AO), ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.70 / $56.70 / $83.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.02 / $56.70 / $56.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $89.93 / $89.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $105.00 / $105.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.94 / $58.00 / $58.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.34 / $56.94 / $58.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.97 / $72.01 / $472.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $54.71 / $117.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $44.87 / $64.37