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Oklahoma rates for HCPCS 30580

Repair Fistula Oromaxillary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.00 / $4,112.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.43 / $669.81 / $681.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,689.49 / $10,387.98 / $16,323.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.00 / $698.67 / $807.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.12 / $686.98 / $912.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.75 / $803.60 / $7,567.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.40 / $938.94 / $4,551.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.00 / $5,524.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.35 / $710.40 / $1,158.90