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Oklahoma rates for HCPCS 66987

Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx W/Ecp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $4,833.00 / $16,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.41 / $902.10 / $909.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,793.02 / $5,982.69 / $9,520.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,184.66 / $2,184.66 / $2,184.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.23 / $1,001.26 / $1,201.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.43 / $3,990.00 / $9,412.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.12 / $878.26 / $1,248.45
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
$702.77 / $864.85 / $1,101.82