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Oklahoma rates for HCPCS L6645

Upper extremity addition, shoulder flexion-abduction joint, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $229.09 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $446.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $309.03 / $1,479.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $251.19 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $389.05 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $208.93 / $288.40