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Oklahoma rates for HCPCS 84275

Sialic acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $13.49 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $11.48 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $13.49 / $19.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $14.45 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $7.76 / $17.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $13.49 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $7.76 / $11.48