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Oklahoma rates for HCPCS L6624

Upper extremity addition, flexion/extension and rotation wrist unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,961.11 / $1,961.11 / $1,961.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,961.11 / $2,241.27 / $2,262.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,723.26 / $4,002.26 / $4,002.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.06 / $2,941.06 / $2,941.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.96 / $2,146.96 / $5,270.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,308.09 / $2,783.26 / $21,171.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.82 / $2,677.55 / $4,627.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.82 / $2,178.61 / $3,052.24