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Oklahoma rates for HCPCS L4387

Walking boot, nonpneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.81 / $90.81 / $489.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $90.81 / $155.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.03 / $192.04 / $192.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.16 / $168.16 / $168.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.47 / $120.81 / $120.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.19 / $118.47 / $120.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.81 / $124.98 / $889.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.76 / $91.81 / $189.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.76 / $86.82 / $133.57