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Oklahoma rates for HCPCS L6500

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,602.04 / $1,602.04 / $1,602.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,602.04 / $1,830.90 / $1,926.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,224.64 / $3,269.46 / $3,269.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,970.85 / $2,970.85 / $2,970.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.71 / $2,970.85 / $2,970.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.80 / $2,242.54 / $19,143.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,231.75 / $2,441.53 / $3,779.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.83 / $1,785.00 / $2,781.72