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Oklahoma rates for HCPCS L1920

Ankle Foot Orthosis Single Upright With Static Or Adjustable Stop (Phelps Or Perlstein Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.82 / $192.82 / $284.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.68 / $192.82 / $209.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.08 / $357.08 / $357.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.11 / $246.11 / $246.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $246.10 / $246.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.85 / $252.81 / $2,095.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.99 / $196.49 / $403.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.99 / $194.74 / $281.89