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Oklahoma rates for HCPCS L6630

Upper extremity addition, stainless steel, any wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.97 / $147.97 / $147.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.97 / $155.36 / $169.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.01 / $302.01 / $302.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.63 / $161.63 / $161.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.99 / $161.63 / $161.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.31 / $207.15 / $1,316.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.03 / $170.54 / $336.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.54 / $107.54 / $107.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.03 / $164.39 / $194.40