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Oklahoma rates for HCPCS 15135

Dermal Autograft F/S/N/H/F/G/M/D Gt 1st 100

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.56 / $3,165.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.05 / $788.42 / $883.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,878.46 / $6,117.46 / $9,735.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.30 / $987.63 / $1,146.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.90 / $998.31 / $1,222.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.37 / $1,070.19 / $5,975.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.16 / $929.46 / $6,484.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.00 / $4,054.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.08 / $902.60 / $1,308.23