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Oklahoma rates for HCPCS 35355

Teaec W/Wo Patch Graft Iliofemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.68 / $3,684.00 / $18,600.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $1,608.61 / $6,155.68
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$456.42 / $456.42 / $456.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68