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Oklahoma rates for HCPCS L6650

Upper extremity addition, shoulder universal joint, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.78 / $217.78 / $217.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.78 / $244.01 / $248.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.67 / $280.67 / $280.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.89 / $280.67 / $280.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.85 / $304.86 / $2,155.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.12 / $267.83 / $506.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.12 / $236.00 / $305.31