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Oklahoma rates for HCPCS L6675

Upper extremity addition, harness, (e.g., figure of eight type), single cable design

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $81.28 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $131.83 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $158.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $95.50 / $467.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $85.11 / $194.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $120.23 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $70.79 / $107.15