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Oklahoma rates for HCPCS 25301

Tenodesis at wrist; extensors of fingers

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.00 / $3,803.00 / $12,600.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.78 / $2,545.78 / $2,545.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.78 / $944.53 / $6,840.79
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$167.20 / $849.00 / $849.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,424.00 / $7,077.94