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Oklahoma rates for HCPCS L1907

Ankle orthosis (AO), supramalleolar with straps, with or without interface/pads, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.27 / $322.27 / $475.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.35 / $322.27 / $363.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.19 / $511.19 / $579.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.61 / $596.82 / $596.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.48 / $419.48 / $419.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.22 / $419.48 / $419.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.06 / $409.37 / $3,157.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.43 / $324.88 / $674.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.43 / $302.14 / $433.47