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Oklahoma rates for HCPCS L6692

Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.43 / $366.43 / $366.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.43 / $403.14 / $418.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.83 / $747.81 / $747.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.41 / $419.41 / $419.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $895.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.18 / $512.92 / $3,569.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.24 / $442.50 / $837.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.24 / $385.07 / $504.42