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Oklahoma rates for HCPCS L6930

Below elbow, 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
$4,051.60 / $4,051.60 / $4,051.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,051.60 / $4,630.39 / $4,630.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,300.68 / $6,300.68 / $6,300.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,599.50 / $6,300.68 / $6,300.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,595.84 / $5,671.49 / $42,111.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,680.62 / $5,313.41 / $9,559.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,680.62 / $4,500.97 / $6,056.96