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Oklahoma rates for HCPCS 64857

Sutr Prph Nrv Arm/Leg Xcp Sciatic W/O Trpos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,683.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.16 / $946.24 / $967.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,666.79 / $13,768.47 / $21,754.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.25 / $1,362.39 / $1,547.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,980.81 / $4,980.81 / $4,980.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.42 / $1,385.99 / $1,746.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.24 / $1,496.97 / $8,753.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.78 / $1,206.73 / $7,734.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,524.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.86 / $1,098.57 / $1,527.01