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Oklahoma rates for HCPCS L3000

Foot Insert Removable Molded To Patient Model Ucb Type Berkeley Shell Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.92 / $179.92 / $265.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.25 / $179.92 / $790.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.44 / $323.44 / $323.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.18 / $333.18 / $333.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.27 / $211.27 / $211.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.22 / $165.48 / $211.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.90 / $228.53 / $1,762.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.45 / $181.37 / $376.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.45 / $171.57 / $241.99