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Oklahoma rates for HCPCS 0055T

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on CT/MRI images (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,630.27 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $194.98 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $380.19 / $1,548.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $218.78 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $630.96 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $199.53 / $501.19