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Oklahoma rates for HCPCS 33764

Shunt Central W/Prosthetic Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $3,683.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.00 / $1,620.00 / $1,670.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.55 / $1,736.41 / $2,258.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.79 / $1,764.37 / $2,055.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $1,904.62 / $6,155.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.32 / $1,683.74 / $12,784.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.14 / $1,511.32 / $2,236.90