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Oklahoma rates for HCPCS L6881

Automatic grasp feature, addition to upper limb electric prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,128.86 / $2,128.86 / $2,128.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,128.86 / $2,432.98 / $2,455.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,344.60 / $4,344.60 / $4,344.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,801.20 / $2,801.20 / $2,801.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.88 / $2,044.88 / $5,721.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,420.00 / $2,979.99 / $22,982.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,466.37 / $2,906.58 / $5,022.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,466.37 / $2,364.96 / $3,313.32