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Oklahoma rates for HCPCS 42810

Exc Branchial Cleft Cyst Confined Skn&Subq Tis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.91 / $3,612.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.27 / $357.38 / $478.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,175.22 / $6,585.53 / $10,443.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.02 / $437.82 / $605.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.33 / $404.18 / $566.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.57 / $431.46 / $2,875.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.38 / $486.01 / $2,915.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,900.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.50 / $424.78 / $631.69