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Oklahoma rates for HCPCS 40843

Vestibuloplasty Posterior Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.00 / $3,742.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.01 / $1,271.82 / $1,271.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.47 / $1,275.81 / $1,601.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.01 / $1,385.97 / $5,847.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.76 / $1,813.24 / $8,857.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.00 / $2,900.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.70 / $1,216.90 / $1,976.79