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Oklahoma rates for HCPCS 26500

Rcnstj Tendon Pulley Each W/Local Tissues Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $4,195.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.48 / $704.01 / $716.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,227.34 / $8,304.37 / $13,120.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.60 / $845.20 / $1,011.33
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
$615.16 / $801.99 / $1,036.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.14 / $887.92 / $4,705.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.01 / $720.37 / $5,124.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,928.00 / $4,012.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.20 / $659.00 / $916.39