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Oklahoma rates for HCPCS 12052

Repair Intermediate F/E/E/N/L&/Muc 2.6-5.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.36 / $2,397.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.06 / $285.64 / $316.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.51 / $196.51 / $196.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.94 / $887.42 / $1,396.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.89 / $297.85 / $408.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.97 / $312.22 / $429.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.05 / $317.37 / $1,470.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.39 / $312.89 / $2,348.96
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
$250.32 / $303.51 / $453.52