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Oklahoma rates for HCPCS 65286

Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.00 / $3,165.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.22 / $738.66 / $758.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,075.78 / $3,306.56 / $5,279.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.25 / $667.45 / $916.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.12 / $451.12 / $451.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.04 / $647.80 / $987.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.05 / $798.19 / $4,012.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.70 / $719.63 / $3,688.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $1,760.00 / $3,790.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.70 / $691.22 / $899.54