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Oklahoma rates for HCPCS 23174

Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,683.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.21 / $801.02 / $814.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,132.98 / $14,509.07 / $22,924.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.10 / $981.67 / $1,174.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,659.86 / $5,659.86 / $5,659.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.20 / $979.67 / $1,203.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.02 / $1,084.63 / $6,889.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.72 / $868.58 / $7,170.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,424.00 / $7,077.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.15 / $791.44 / $1,133.21