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Oklahoma rates for HCPCS 63064

Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $3,742.00 / $18,600.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,587.01 / $2,502.21 / $11,615.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $8,072.00 / $14,139.00