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Oklahoma rates for HCPCS 42650

Dilation salivary duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $74.13 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $58.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $5,011.87 / $8,128.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $74.13 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $87.10 / $144.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $87.10 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $97.72 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,995.26 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $72.44 / $109.65