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Oklahoma rates for HCPCS 67229

Extensive Retinopathy 1/> Sess Preterm Infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.00 / $3,576.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.43 / $1,257.26 / $1,257.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.51 / $1,336.76 / $2,127.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.50 / $1,472.98 / $1,504.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.22 / $307.22 / $307.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.83 / $1,409.23 / $1,662.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,361.80 / $3,536.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.32 / $1,162.91 / $1,866.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $1,327.00 / $2,417.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.83 / $1,129.69 / $1,486.44