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Oklahoma rates for HCPCS 15220

Fth/Gft Free W/Direct Closure S/A/L 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.50 / $2,963.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.76 / $711.22 / $782.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,878.46 / $6,161.50 / $9,789.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.97 / $791.55 / $998.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.02 / $828.09 / $1,029.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.77 / $858.98 / $4,012.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.40 / $832.91 / $5,728.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $2,268.00 / $4,012.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.60 / $769.45 / $1,148.78