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Oklahoma rates for HCPCS L6450

Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,587.72 / $1,587.72 / $1,587.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,587.72 / $1,814.53 / $1,841.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,717.61 / $2,717.61 / $2,717.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.86 / $2,717.61 / $2,717.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.82 / $2,222.50 / $19,464.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.74 / $2,439.53 / $3,746.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.74 / $1,769.05 / $2,780.91