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Oklahoma rates for HCPCS L6641

Upper Extremity Addition Excursion Amplifier Pulley Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.45 / $100.45 / $100.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.45 / $114.81 / $114.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $126.98 / $126.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $92.70 / $274.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.01 / $140.61 / $1,050.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.04 / $126.94 / $237.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $120.51 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.04 / $108.85 / $144.72