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Oklahoma rates for HCPCS A4470

Gravlee Jet Washer (Special Coverage Instructions Apply. See Cim: 50-4 And Mcm: 2320)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.70 / $2.70 / $2.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.66 / $2.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $3.02 / $7.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $3.22 / $33.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $2.44 / $4.95