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Oklahoma rates for HCPCS 43400

Ligation, direct, esophageal varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,399.55 / $1,645.55 / $1,975.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,354.66 / $1,984.20 / $2,571.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,435.00 / $2,121.05 / $9,200.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.71 / $1,843.15 / $10,974.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,074.00 / $14,139.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.19 / $1,723.67 / $2,637.97