go back

Oklahoma rates for HCPCS L6638

Upper Extremity Addition To Prosthesis Electric Locking Feature Only For Use With Manually Powered Elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,302.19 / $1,302.19 / $1,302.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.19 / $1,488.22 / $1,502.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,657.54 / $2,657.54 / $2,657.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,952.91 / $1,952.91 / $1,952.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.62 / $1,952.91 / $1,952.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.59 / $1,822.82 / $14,058.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.96 / $1,777.93 / $3,072.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.96 / $1,446.61 / $2,027.18