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Oklahoma rates for HCPCS D4270

Pedicle Soft Tissue Graft Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.32 / $236.32 / $236.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.32 / $236.32 / $239.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.32 / $251.06 / $528.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.14 / $568.41 / $1,819.54