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Oklahoma rates for HCPCS 67015

Aspiration/Release Vitreous Subretinal/Choroidal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.00 / $3,576.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.91 / $650.09 / $658.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,969.66 / $7,916.26 / $12,639.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.90 / $759.55 / $775.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.68 / $1,266.68 / $1,266.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.91 / $711.34 / $871.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.74 / $1,822.00 / $5,703.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.60 / $581.20 / $1,285.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,500.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.32 / $578.51 / $785.85