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Oklahoma rates for HCPCS L6675

Upper Extremity Addition Harness (E.G. Figure Of Eight Type) Single Cable Design. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.25 / $64.25 / $64.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.25 / $73.43 / $73.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.23 / $131.12 / $131.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.07 / $90.07 / $90.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.75 / $90.07 / $90.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.42 / $89.94 / $730.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.94 / $95.02 / $151.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $71.59 / $108.32