go back

Oklahoma rates for HCPCS 20101

Exploration Penetrating Wound Spx Chest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,683.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.45 / $469.05 / $617.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,878.46 / $6,161.50 / $9,735.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.30 / $418.12 / $797.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.44 / $322.63 / $649.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.45 / $575.00 / $2,969.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.60 / $494.79 / $4,557.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,990.00 / $4,012.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.52 / $467.46 / $697.65