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Oklahoma rates for HCPCS 40801

Drg Absc Cst Hmtma Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.65 / $2,963.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.88 / $305.86 / $318.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.52 / $957.06 / $1,523.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.11 / $350.60 / $384.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.54 / $311.18 / $438.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.88 / $326.80 / $1,541.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.70 / $464.79 / $2,176.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.31 / $341.01 / $496.95