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Oklahoma rates for HCPCS 25920

Disarticulation through wrist;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,742.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.12 / $768.06 / $781.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.45 / $954.95 / $1,267.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.76 / $902.66 / $1,128.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.36 / $989.20 / $10,232.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.41 / $788.16 / $5,425.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,074.00 / $14,139.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.46 / $743.08 / $1,057.79