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Oklahoma rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.94 / $12.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $28.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $7.24 / $28.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.71 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $8.71 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.76 / $15.85