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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 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $64.57 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $131.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $75.86 / $380.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $57.54 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $123.03 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $53.70 / $77.62