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Oklahoma rates for HCPCS L3221

Orthopedic footwear, mens shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.81 / $42.81 / $42.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.22 / $42.81 / $83.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.94 / $51.94 / $51.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $69.84 / $69.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.81 / $44.95 / $460.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.53 / $60.05 / $105.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $56.22 / $105.12