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Oklahoma rates for HCPCS L6615

Upper extremity addition, disconnect locking wrist unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.98 / $99.98 / $99.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.98 / $114.27 / $114.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.84 / $204.05 / $204.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.58 / $175.58 / $175.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $175.58 / $175.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.15 / $139.94 / $1,083.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.34 / $137.44 / $235.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.34 / $110.96 / $156.69