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Oklahoma rates for HCPCS 0100T

Plmt Scjncl Rta Prosth&Pls&Impltj Intra-Oc Rta

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $5,511.00 / $16,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.50 / $1,224.50 / $1,224.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.50 / $11,876.00 / $40,432.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,643.87 / $1,939.03 / $2,671.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,288.00 / $24,082.00 / $43,850.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.20 / $1,901.04 / $2,598.69