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Oklahoma rates for HCPCS 14001

Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.00 / $3,684.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.82 / $739.65 / $807.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,374.38 / $8,476.95 / $13,489.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.02 / $845.38 / $1,044.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.95 / $881.35 / $1,125.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.32 / $909.00 / $4,012.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.46 / $865.88 / $6,000.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,928.00 / $3,790.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.72 / $824.65 / $1,195.25