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Oklahoma rates for HCPCS 54057

Dstrj Lesion Penis Simple Laser

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,508.00 / $7,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.17 / $850.56 / $1,353.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.36 / $183.33 / $3,486.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $1,928.00 / $3,790.62