go back

Oklahoma rates for HCPCS L3265

Plastazote Sandal, Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.59 / $6.59 / $6.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.34 / $6.59 / $12.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.00 / $22.00 / $22.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.65 / $28.65 / $28.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.91 / $20.91 / $28.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.58 / $6.92 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $9.24 / $16.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $8.65 / $16.00