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Oklahoma rates for HCPCS 65286

Repair of laceration; application of tissue glue, wounds of cornea and/or sclera

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,570.40 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $660.69 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,090.30 / $5,011.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $660.69 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $645.65 / $1,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $831.76 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $724.44 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,949.84 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $588.84 / $831.76