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Oklahoma rates for HCPCS 67875

Temporary closure of eyelids by suture (eg, Frost suture)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $165.96 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $39.81 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,570.40 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $173.78 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $144.54 / $269.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $275.42 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $181.97 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,949.84 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $138.04 / $199.53