go back

Oklahoma rates for HCPCS L6687

Upper extremity addition, frame type socket, below elbow or wrist disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.04 / $297.04 / $297.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.04 / $339.48 / $342.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.49 / $606.21 / $606.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.60 / $432.60 / $432.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $432.60 / $432.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.98 / $415.81 / $3,605.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.26 / $456.41 / $700.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.83 / $287.83 / $287.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.26 / $330.97 / $520.28