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Oklahoma rates for HCPCS L3040

Foot Arch Support Removable Premolded Longitudinal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.95 / $26.95 / $39.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.95 / $26.95 / $30.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.91 / $49.91 / $49.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $33.22 / $33.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $33.22 / $33.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $34.22 / $264.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $27.17 / $56.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $25.27 / $36.25