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Oklahoma rates for HCPCS 29055

Application, cast; shoulder spica

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.49 / $141.49 / $224.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.49 / $180.07 / $224.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.77 / $229.77 / $229.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.96 / $229.77 / $353.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.49 / $224.66 / $940.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.45 / $236.88 / $1,697.92
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
$145.91 / $208.77 / $291.82