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Oklahoma rates for HCPCS L3002

Foot insert, removable, molded to patient model, Plastazote or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $104.71 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $213.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $123.03 / $602.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $93.33 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $199.53 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $87.10 / $123.03