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Oklahoma rates for HCPCS 15278

Sub Grft F/S/N/H/F/G/M/D >= 100scm Adl 100sq Cm

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
$47.27 / $73.36 / $97.36
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
$54.60 / $74.97 / $122.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.99 / $80.58 / $125.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.07 / $101.26 / $1,538.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.68 / $96.36 / $402.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.27 / $96.12 / $137.96