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Oklahoma rates for HCPCS 15050

Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter

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
$409.97 / $517.66 / $594.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.45 / $883.99 / $1,406.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.97 / $617.20 / $781.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.72 / $618.33 / $1,883.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.02 / $605.22 / $4,336.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $607.08 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.18 / $587.05 / $877.21