go back

Oklahoma rates for HCPCS L6629

Upper extremity addition, quick disconnect lamination collar with coupling piece, Otto Bock or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.40 / $91.40 / $91.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.40 / $104.46 / $104.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.92 / $186.53 / $186.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.00 / $113.00 / $113.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $113.00 / $113.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.56 / $127.94 / $917.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $115.77 / $215.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $96.57 / $131.99