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Oklahoma rates for HCPCS L6360

Interscapular thoracic, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.29 / $1,640.29 / $1,640.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.29 / $1,874.62 / $2,092.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,297.39 / $3,297.39 / $3,297.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.09 / $3,297.39 / $3,297.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.29 / $2,296.10 / $19,929.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.50 / $2,520.31 / $3,870.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.50 / $1,822.21 / $2,873.00