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Oklahoma rates for HCPCS 12004

Simple Rpr Scalp/Neck/Ax/Genit/Trunk 7.6-12.5cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.66 / $1,774.00 / $6,435.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.08 / $124.14 / $136.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.86 / $890.36 / $1,396.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.16 / $124.60 / $171.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.01 / $138.46 / $189.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.79 / $143.46 / $1,470.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.53 / $166.46 / $1,072.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $604.50 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.54 / $138.55 / $206.41