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Oklahoma rates for HCPCS L6635

Upper extremity addition, lift assist for elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $125.89 / $208.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $263.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $165.96 / $812.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $138.04 / $346.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $213.80 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $117.49 / $158.49