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Oklahoma rates for HCPCS 64772

Transection/Avulsion Oth Spinal Nrv Xdrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.91 / $3,021.00 / $8,400.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,794.37 / $6,027.89 / $9,524.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,491.09 / $1,491.09 / $1,491.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.23 / $825.90 / $5,246.20
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$143.22 / $497.27 / $497.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $3,317.00 / $5,543.93