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Oklahoma rates for HCPCS 25622

Closed Tx Carpal Scaphoid Fracture W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,683.00 / $18,600.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$223.01 / $223.01 / $240.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.53 / $297.33 / $321.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.21 / $1,878.12 / $2,967.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.80 / $364.17 / $447.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.85 / $207.85 / $207.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.01 / $356.92 / $483.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.98 / $374.61 / $1,145.00
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$956.89 / $956.89 / $956.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.57 / $338.27 / $2,370.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.91 / $308.70 / $445.76