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Oklahoma rates for HCPCS 12021

Treatment of superficial wound dehiscence; with packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $144.54 / $245.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $831.76 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $181.97 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $208.93 / $245.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $199.53 / $1,659.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $177.83 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $630.96 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $151.36 / $213.80