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Oklahoma rates for HCPCS L3253

Foot, molded shoe, Plastazote (or similar), custom fitted, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $14.82 / $14.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.27 / $14.82 / $14.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $54.94 / $54.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $40.11 / $54.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $15.56 / $159.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $20.79 / $36.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $19.46 / $36.56