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Oklahoma rates for HCPCS L3995

Addition to upper extremity orthosis, sock, fracture or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.23 / $22.23 / $32.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.40 / $22.23 / $22.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.25 / $35.25 / $37.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.16 / $41.16 / $41.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $29.97 / $29.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $52.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.61 / $28.23 / $196.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.99 / $21.20 / $45.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.99 / $18.96 / $25.80