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Oklahoma rates for HCPCS 25455

Epiphysl Arrst Epiphysiod/Stapling Dstl Rds&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.00 / $3,803.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.16 / $767.51 / $780.51
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
$826.36 / $1,198.32 / $1,577.55
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
$682.70 / $923.24 / $1,138.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.51 / $1,052.14 / $8,753.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.29 / $828.66 / $5,633.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.00 / $6,164.76 / $10,296.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.50 / $784.75 / $1,084.98