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Oklahoma rates for HCPCS 63103

Vcrpec Lat Xtrcavitary Dcmprn Thrc/Lmbr Ea Seg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,742.00 / $18,600.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.01 / $418.88 / $5,415.32
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$69.92 / $133.22 / $133.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68