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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
$322.39 / $322.39 / $322.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.39 / $368.44 / $451.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.36 / $644.36 / $644.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.38 / $644.36 / $644.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.00 / $451.28 / $4,034.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.90 / $495.35 / $760.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.90 / $374.86 / $562.28