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Oklahoma rates for HCPCS 13102

Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.47 / $2,444.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.16 / $98.81 / $117.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.24 / $140.24 / $140.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,517.36 / $2,366.61 / $3,711.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.69 / $113.05 / $155.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.08 / $108.20 / $165.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.20 / $123.34 / $1,582.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.03 / $123.79 / $859.36
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
$96.38 / $117.60 / $174.57