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Oklahoma rates for HCPCS L6400

Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,291.67 / $1,291.67 / $1,291.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.67 / $1,476.20 / $1,476.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,125.02 / $2,125.02 / $2,125.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.26 / $2,125.02 / $2,125.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.99 / $1,808.10 / $14,520.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.28 / $1,836.04 / $3,047.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.28 / $1,434.92 / $2,092.96