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Oklahoma rates for HCPCS 12054

Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.00 / $3,165.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.67 / $332.69 / $386.83
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
$225.95 / $367.15 / $504.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.49 / $327.18 / $538.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.32 / $398.00 / $1,582.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.75 / $386.88 / $2,838.24
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
$298.68 / $375.27 / $550.95