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Oklahoma rates for HCPCS 25685

Open Tx Trans-Scaphoperilunar Fracture Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.00 / $3,803.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.11 / $772.70 / $785.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,873.50 / $12,508.22 / $19,762.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.60 / $948.73 / $1,135.21
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
$750.87 / $951.14 / $1,172.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.70 / $1,042.16 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.95 / $834.34 / $5,464.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $3,317.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.66 / $765.82 / $1,092.58