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Oklahoma rates for HCPCS 22904

Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.00 / $3,576.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.15 / $1,113.15 / $1,113.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,894.65 / $6,155.73 / $9,801.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.14 / $1,380.28 / $1,906.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.06 / $1,364.02 / $1,624.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $1,473.00 / $4,830.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.99 / $1,352.39 / $7,648.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $1,928.00 / $3,790.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.51 / $1,212.00 / $1,818.00