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Oklahoma rates for HCPCS L6884

Replacement Socket Above Elbow/Elbow Disarticulation Molded To Patient Model For Use With Or Without External Power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,442.17 / $1,442.17 / $1,442.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.17 / $1,609.35 / $1,648.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.76 / $2,283.76 / $2,283.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.14 / $2,283.76 / $2,283.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.01 / $2,018.77 / $14,087.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.20 / $1,766.50 / $3,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.20 / $1,515.59 / $2,013.70