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Oklahoma rates for HCPCS 15576

Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.00 / $3,683.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.51 / $740.43 / $888.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,374.38 / $8,476.95 / $13,489.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.96 / $857.39 / $1,039.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.07 / $880.03 / $1,108.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.64 / $896.76 / $4,132.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.51 / $862.09 / $5,828.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $1,928.00 / $3,790.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.83 / $821.02 / $1,181.53