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Oklahoma rates for HCPCS 89264

Sprm Id From Tstis Tiss Frsh/Cryoprsrvd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.87 / $299.83 / $299.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.83 / $299.83 / $365.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.56 / $35.31 / $143.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.45 / $109.45 / $136.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.86 / $299.83 / $400.00