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Oklahoma rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.05 / $12.05 / $12.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $13.77 / $13.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.59 / $24.59 / $24.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $16.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $16.30 / $16.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.27 / $16.86 / $134.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $16.96 / $28.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $13.38 / $19.34