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Oklahoma rates for HCPCS 12021

Tx Superficial Wound Dehiscence W/Packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,876.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.62 / $145.63 / $177.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.26 / $884.12 / $1,389.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $207.47 / $227.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.38 / $198.16 / $248.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.91 / $195.66 / $1,582.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.47 / $179.08 / $1,316.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.18 / $171.53 / $256.31