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Oklahoma rates for HCPCS L3250

Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.49 / $108.49 / $108.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.48 / $108.49 / $109.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.68 / $210.68 / $210.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.80 / $210.68 / $210.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.49 / $113.91 / $1,166.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.13 / $152.21 / $265.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.13 / $142.50 / $265.85