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Oklahoma rates for HCPCS 21627

Sternal Debridement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $4,195.00 / $13,200.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.16 / $796.20 / $10,232.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$138.79 / $252.36 / $252.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,074.00 / $14,139.00