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Oklahoma rates for HCPCS 15274

App Skn Sub Grft T/A/L Area>=100scm Adl 100sqcm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.50 / $2,536.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.27 / $62.72 / $83.96
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
$46.08 / $79.73 / $107.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.60 / $65.06 / $105.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.14 / $87.32 / $1,538.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.25 / $81.56 / $2,932.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.25 / $81.56 / $116.49