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Oklahoma rates for HCPCS L6920

Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $4,786.30 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $9,772.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $5,495.41 / $26,915.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $5,011.87 / $11,481.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $7,079.46 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,981.07 / $6,025.60