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Oklahoma rates for HCPCS L3640

Transfer of an orthosis from one shoe to another, Dennis Browne splint (Riveton), both shoes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.75 / $24.75 / $36.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.84 / $24.75 / $27.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.33 / $36.33 / $36.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.52 / $26.52 / $60.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.99 / $31.45 / $242.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $24.95 / $51.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.89 / $23.21 / $27.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $23.21 / $33.31