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Oklahoma rates for HCPCS 29058

Application, cast; plaster Velpeau

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $112.20 / $194.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $120.23 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $134.90 / $199.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $147.91 / $1,548.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $138.04 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $616.60 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $107.15 / $151.36