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Oklahoma rates for HCPCS L4394

Replace soft interface material, foot drop splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.84 / $9.84 / $14.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.47 / $9.84 / $11.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $13.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.40 / $13.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $12.50 / $96.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $9.92 / $20.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.10 / $9.19 / $11.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $9.19 / $13.21