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Oklahoma rates for HCPCS L3570

Orthopedic Shoe Addition Special Extension To Instep (Leather With Eyelets) (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.79 / $48.79 / $71.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.99 / $48.79 / $55.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $69.65 / $69.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.84 / $69.65 / $69.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.54 / $61.99 / $478.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.51 / $49.19 / $102.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.51 / $45.77 / $65.65