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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
$17.45 / $17.45 / $17.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.80 / $17.45 / $17.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $30.06 / $30.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $30.06 / $30.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.45 / $18.32 / $187.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $24.48 / $42.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $22.95 / $42.66