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Oklahoma rates for HCPCS L6689

Upper extremity addition, frame type socket, shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.37 / $367.37 / $367.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.37 / $419.85 / $419.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.92 / $649.92 / $649.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.45 / $649.92 / $649.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.47 / $514.26 / $4,278.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.98 / $533.15 / $866.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.98 / $408.13 / $607.76