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Oklahoma rates for HCPCS L3230

Orthopedic footwear, custom shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.81 / $55.81 / $55.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.74 / $55.81 / $56.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.08 / $139.08 / $139.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.53 / $101.53 / $225.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.81 / $58.60 / $600.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.94 / $78.30 / $136.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.94 / $73.40 / $136.72