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Oklahoma rates for HCPCS 43622

Gstrct Tot W/Frmj Intstinal Pouch Any Type

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
$2,115.42 / $2,497.82 / $2,993.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,335.44 / $3,075.84 / $4,095.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,924.20 / $2,952.70 / $3,769.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,686.81 / $2,781.38 / $5,833.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,071.56 / $2,802.70 / $16,589.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.62 / $2,545.04 / $3,877.96