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Oklahoma rates for HCPCS L6915

Hand restoration (shading and measurements included), replacement glove for above

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $1,096.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $478.63 / $2,344.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $426.58 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $602.56 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $354.81 / $562.34