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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
$28.84 / $28.84 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $32.36 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $67.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $38.90 / $190.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $29.51 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $63.10 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $27.54 / $38.90