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Oklahoma rates for HCPCS L6648

Upper extremity addition, shoulder lock mechanism, external powered actuator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,693.87 / $1,693.87 / $1,693.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,693.87 / $1,935.85 / $1,954.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,540.30 / $2,540.30 / $2,540.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,854.42 / $2,540.30 / $2,540.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.84 / $2,371.09 / $18,286.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.75 / $2,312.67 / $3,996.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.75 / $1,835.56 / $2,636.31