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Oklahoma rates for HCPCS 20696

App Mltpln Uni Xtrnl Fix Strtctc Adjmt 1st&Subsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $3,803.00 / $12,600.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,947.68 / $23,947.68 / $23,947.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $1,680.08 / $6,710.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,424.00 / $7,077.94