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Oklahoma rates for HCPCS 20103

Exploration Penetrating Wound Spx Extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.50 / $3,578.00 / $7,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.12 / $2,366.61 / $3,711.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.83 / $1,141.83 / $1,141.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.54 / $610.77 / $2,025.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,325.00 / $2,637.00