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Oklahoma rates for HCPCS 15271

App Skn Sub Grft T/A/L Area/100sq Cm /<1st 25

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.18 / $2,992.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.50 / $129.62 / $155.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,950.44 / $6,161.50 / $9,663.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.15 / $145.94 / $200.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.40 / $127.80 / $210.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.45 / $168.95 / $3,390.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.50 / $157.52 / $2,596.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,928.00 / $3,790.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.86 / $154.82 / $224.72