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Oklahoma rates for HCPCS L3209

Surgical Boot Each Child (Special Coverage Instructions Apply. See Mcm: 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.17 / $13.17 / $13.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.68 / $13.17 / $13.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $27.60 / $27.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $27.60 / $27.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.16 / $13.83 / $141.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $18.48 / $31.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $17.32 / $31.99