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Oklahoma rates for HCPCS 64635

Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $2,444.00 / $6,422.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$985.78 / $3,055.00 / $4,696.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.03 / $340.50 / $460.24
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$445.61 / $723.08 / $723.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.80 / $2,927.28 / $4,626.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.38 / $397.60 / $545.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,491.09 / $1,491.09 / $1,491.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.54 / $367.24 / $648.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.59 / $429.29 / $4,232.60
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,637.33 / $4,637.33 / $4,637.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.29 / $496.28 / $1,659.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,900.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.98 / $452.38 / $642.30