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Oklahoma rates for HCPCS 14021

Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,742.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.10 / $809.37 / $862.37
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
$683.02 / $917.95 / $1,127.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.89 / $963.15 / $1,227.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.26 / $982.38 / $4,132.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.28 / $941.26 / $6,464.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $1,928.00 / $3,790.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.11 / $888.89 / $1,288.35