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Oklahoma rates for HCPCS 42650

Dilation salivary duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,923.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.46 / $71.94 / $90.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,383.45 / $5,336.68 / $8,463.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $73.41 / $100.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.19 / $86.30 / $128.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.52 / $87.21 / $1,473.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.64 / $102.13 / $555.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.00 / $1,928.00 / $4,012.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.40 / $89.24 / $130.12