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Oklahoma rates for HCPCS 25145

Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist

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
$436.24 / $547.08 / $556.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.78 / $2,545.78 / $2,545.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.39 / $703.36 / $883.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.08 / $848.44 / $6,840.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.92 / $620.89 / $4,922.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,612.45 / $8,114.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.92 / $577.69 / $811.43