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Oklahoma rates for HCPCS L3003

Foot Insert Removable Molded To Patient Model Silicone Gel Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.80 / $99.80 / $147.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.10 / $99.80 / $112.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.11 / $149.11 / $149.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.85 / $149.11 / $149.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.40 / $126.75 / $977.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.38 / $100.60 / $208.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.38 / $93.57 / $134.22