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Oklahoma rates for HCPCS L5000

Partial Foot Shoe Insert With Longitudinal Arch Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.93 / $346.93 / $346.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.93 / $346.93 / $396.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.27 / $708.02 / $708.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.90 / $459.90 / $459.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $335.73 / $802.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.32 / $485.63 / $3,120.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.70 / $399.79 / $789.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.70 / $364.59 / $455.84