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Oklahoma rates for HCPCS 39540

Rpr Diphrg Hrna Oth/Thn Neonatal Traumtc Aqt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,684.00 / $18,600.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.28 / $1,228.48 / $5,882.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68