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Oklahoma rates for HCPCS 22804

Arthrodesis Posterior Spinal Dfrm 13+ Vrt Sgm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $4,928.00 / $16,400.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,444.76 / $15,004.39 / $23,706.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,416.46 / $3,425.25 / $18,958.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,228.00 / $10,642.00 / $20,423.23