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Oklahoma rates for HCPCS L1990

Ankle Foot Orthosis Double Upright Free Plantar Dorsiflexion Solid Stirrup Calf Band/Cuff (Double Bar Bk Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.45 / $237.45 / $349.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.65 / $237.45 / $283.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.52 / $439.72 / $439.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.79 / $313.79 / $313.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.07 / $313.79 / $313.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.74 / $311.32 / $2,738.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.02 / $250.53 / $496.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.02 / $248.30 / $359.42