go back

Oklahoma rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $363.08 / $575.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $489.78 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $707.95 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $691.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $501.19 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $398.11 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $645.65 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $331.13 / $457.09