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Oklahoma rates for HCPCS 19370

Revision Peri-Implant Capsule Breast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.95 / $3,909.00 / $13,200.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,732.50 / $6,892.50 / $7,473.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,091.22 / $11,208.10 / $17,846.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.39 / $1,155.93 / $7,992.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.00 / $4,054.00 / $7,077.94