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Oklahoma rates for HCPCS 27105

Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)

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
$727.46 / $914.10 / $928.98
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
$890.78 / $1,125.70 / $1,385.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.10 / $1,247.97 / $8,753.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.75 / $982.56 / $7,132.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,524.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.53 / $904.41 / $1,290.68