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Oklahoma rates for HCPCS L6882

Microprocessor control feature, addition to upper limb prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.85 / $1,614.85 / $1,614.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,614.85 / $1,845.54 / $1,862.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,687.00 / $3,295.61 / $3,295.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.80 / $2,264.80 / $2,264.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.30 / $2,264.80 / $2,264.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.14 / $2,260.46 / $17,433.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.32 / $2,204.79 / $3,810.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.32 / $1,697.05 / $2,513.32