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Oklahoma rates for HCPCS L6621

Upper Extremity Prosthesis Addition Flexion/Extension Wrist With Or Without Friction For Use With External Powered Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.06 / $1,191.06 / $1,191.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.06 / $1,361.21 / $1,374.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.24 / $1,786.24 / $1,786.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.96 / $1,786.24 / $1,786.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.47 / $1,667.25 / $12,858.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.41 / $1,626.18 / $2,810.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.41 / $1,323.15 / $1,853.75