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Oklahoma rates for HCPCS L3630

Transfer of an orthosis from one shoe to another, solid stirrup, new

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $84.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.41 / $57.54 / $64.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $67.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $67.56 / $67.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.83 / $73.11 / $563.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.97 / $58.01 / $120.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.24 / $54.88 / $77.40