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Oklahoma rates for HCPCS 64420

Injection Aa&/Strd Intercostal Nrv Single Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $3,576.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.84 / $86.01 / $133.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.79 / $1,783.71 / $2,818.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.40 / $94.85 / $130.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.29 / $599.29 / $599.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.91 / $116.51 / $205.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.48 / $107.51 / $2,004.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.43 / $152.81 / $1,340.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,325.00 / $2,637.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.29 / $116.15 / $204.48