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Oklahoma rates for HCPCS A4928

Surgical mask, per 20

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.77 / $0.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $17.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.96 / $22.96 / $22.96