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Oklahoma rates for HCPCS 11971

Removal Tissue Expander W/O Insertion Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.00 / $2,652.00 / $7,500.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,197.58 / $5,197.58 / $5,197.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,904.89 / $6,159.14 / $9,801.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.96 / $735.74 / $5,543.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,875.93 / $5,543.93