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Oklahoma rates for HCPCS L4392

Replacement, soft interface material, static AFO

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $19.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $13.49 / $15.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $15.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $15.80 / $15.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $17.13 / $131.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $13.60 / $28.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $12.61 / $18.10