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Oklahoma rates for HCPCS L6691

Upper extremity addition, removable insert, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.76 / $177.76 / $177.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.76 / $203.16 / $205.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $274.52 / $274.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $274.52 / $274.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.44 / $248.85 / $2,227.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.80 / $273.13 / $419.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.80 / $198.07 / $311.36