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Oklahoma rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.39 / $270.39 / $270.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.39 / $309.01 / $311.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.51 / $405.51 / $405.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $405.51 / $405.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.36 / $378.49 / $2,919.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.24 / $369.16 / $637.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.59 / $300.37 / $420.82