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Oklahoma rates for HCPCS 40805

Rmvl Embedded Fb Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.00 / $3,165.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.96 / $301.47 / $301.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,886.87 / $2,982.31 / $4,748.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.55 / $317.95 / $445.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.96 / $337.67 / $1,470.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.76 / $460.66 / $2,126.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.44 / $352.36 / $490.36