go back

Oklahoma rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.84 / $1,461.84 / $1,461.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.84 / $1,670.67 / $1,670.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,476.09 / $2,476.09 / $2,476.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $2,476.09 / $2,476.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.47 / $2,046.30 / $16,803.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.89 / $2,094.92 / $3,449.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.89 / $1,585.34 / $2,388.09