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Oklahoma rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.95 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $39.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $19.05 / $74.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $22.91 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $22.91 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $20.42 / $42.66