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Oklahoma rates for HCPCS L3455

Heel, new leather, standard

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.32 / $23.32 / $34.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.45 / $23.32 / $26.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $27.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $57.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $29.62 / $228.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $23.51 / $48.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $21.86 / $31.36