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Oklahoma rates for HCPCS 64895

Nerve Graft Mlt Strands Hand/Foot <4 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.97 / $3,803.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.18 / $1,189.61 / $1,189.61
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
$1,275.05 / $1,714.40 / $2,007.29
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
$1,368.58 / $1,767.31 / $2,237.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.61 / $1,876.39 / $8,753.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.26 / $1,490.08 / $9,692.08
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
$1,108.67 / $1,385.84 / $1,926.32