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Oklahoma rates for HCPCS 64612

Chemodnrvtj Musc Musc Innervated Facial Nrv Unil

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.17 / $2,536.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.18 / $118.77 / $163.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,143.61 / $1,793.27 / $2,797.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.43 / $159.32 / $198.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.76 / $127.76 / $127.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.03 / $178.33 / $252.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.29 / $163.88 / $940.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.18 / $172.33 / $1,721.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.29 / $144.93 / $198.55