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Oklahoma rates for HCPCS 84255

Selenium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $28.18 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $22.39 / $23.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $35.48 / $45.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $21.88 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $25.70 / $36.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $25.70 / $169.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $14.45 / $33.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $25.70 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $14.13 / $21.88