go back

Oklahoma rates for HCPCS L6672

Upper extremity addition, harness, chest or shoulder, saddle type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.63 / $91.63 / $91.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.63 / $104.71 / $120.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.24 / $186.99 / $186.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.89 / $170.89 / $170.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.75 / $170.89 / $170.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.18 / $128.26 / $1,122.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.31 / $133.41 / $216.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.31 / $101.79 / $152.09