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
$91.20 / $91.20 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $104.71 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $186.21 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $199.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $131.83 / $660.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $114.82 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $169.82 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $95.50 / $131.83