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Oklahoma rates for HCPCS 67025

Inj Substitute Pars Plana/Limbl W/Wo Aspir Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.00 / $2,876.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.76 / $751.75 / $803.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,035.62 / $7,942.65 / $12,639.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.60 / $815.10 / $960.72
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
$531.02 / $813.46 / $1,028.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $982.48 / $5,465.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.41 / $754.27 / $4,696.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,875.93 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.29 / $716.56 / $942.84