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Oklahoma rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.47 / $154.47 / $154.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.47 / $176.55 / $178.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.66 / $231.66 / $231.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.11 / $231.66 / $231.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.04 / $216.24 / $1,667.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.40 / $210.90 / $364.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.40 / $171.61 / $240.42