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Oklahoma rates for HCPCS 12042

Repair Intermediate N/H/F/Xtrnl Gent 2.6-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.25 / $2,397.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.27 / $270.38 / $310.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.53 / $331.06 / $372.44
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
$196.83 / $292.60 / $401.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.88 / $306.58 / $420.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.68 / $315.30 / $1,470.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.81 / $308.20 / $2,310.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $607.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.24 / $301.25 / $439.04