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Oklahoma rates for HCPCS 15760

Graft Composite W/Primary Closure Donor Area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.53 / $3,165.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.32 / $783.47 / $844.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,374.38 / $8,537.98 / $13,565.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.07 / $913.14 / $1,107.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.66 / $941.42 / $1,171.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.75 / $962.04 / $4,012.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.10 / $914.76 / $6,301.44
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
$696.96 / $871.20 / $1,262.72