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Oklahoma rates for HCPCS 21742

Repair Pectus Excavatm/Carinatm Minly W/O Thrsc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $4,928.00 / $16,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.25 / $1,263.56 / $1,285.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.15 / $1,486.23 / $2,101.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.08 / $1,574.89 / $8,114.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.00 / $1,245.24 / $2,441.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,910.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.60 / $1,161.60 / $1,770.95