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Oklahoma rates for HCPCS 15136

Dermal Agrft F/S/N/H/F/G/M/D Gt Ea 100 Cm/Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,876.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.51 / $90.03 / $97.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.22 / $110.96 / $138.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.00 / $121.54 / $1,676.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.70 / $103.05 / $758.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $634.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.70 / $100.32 / $145.10