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Oklahoma rates for HCPCS L6642

Upper Extremity Addition Excursion Amplifier Lever Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.59 / $119.59 / $119.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.59 / $136.66 / $136.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.10 / $225.10 / $225.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.32 / $225.10 / $225.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.06 / $167.43 / $1,446.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.80 / $172.06 / $282.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.51 / $108.51 / $108.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.80 / $132.86 / $196.14