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Oklahoma rates for HCPCS 20103

Exploration of penetrating wound (separate procedure); extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $2,089.30 / $6,606.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,187.76 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $645.65 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,318.26 / $2,691.53