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Oklahoma rates for HCPCS L6883

Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.93 / $960.93 / $960.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.93 / $1,098.20 / $1,098.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.39 / $1,961.08 / $1,961.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.30 / $1,551.30 / $1,551.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.45 / $1,551.30 / $1,551.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.44 / $1,345.13 / $9,894.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.47 / $1,255.64 / $2,267.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.47 / $1,013.55 / $1,431.35