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Oklahoma rates for HCPCS 64905

Nerve Pedicle Transfer First Stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,683.00 / $8,400.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,666.79 / $13,768.47 / $21,754.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,980.81 / $4,980.81 / $4,980.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.80 / $1,458.25 / $8,753.15
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$251.53 / $1,661.06 / $1,661.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.00 / $6,627.00 / $10,811.00