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Oklahoma rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.14 / $29.14 / $42.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.06 / $29.14 / $32.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $36.72 / $36.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $37.02 / $285.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.22 / $29.38 / $60.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.22 / $27.32 / $39.20