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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
$363.08 / $363.08 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $436.52 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $912.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $537.03 / $2,630.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $489.78 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $691.83 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $407.38 / $602.56