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Oklahoma rates for HCPCS L6130

Below elbow, molded double wall split socket, stump activated locking hinge, half cuff

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.38 / $1,348.38 / $1,348.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.38 / $1,541.01 / $1,541.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,479.82 / $2,479.82 / $2,479.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,810.27 / $2,479.82 / $2,479.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.71 / $1,887.49 / $16,444.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.39 / $2,048.35 / $3,181.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.39 / $1,550.09 / $2,334.98