go back

Oklahoma rates for HCPCS 01922

Anesthesia for non-invasive imaging or radiation therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $323.59 / $478.63
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$602.56 / $1,479.11 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$416.87 / $588.84 / $870.96
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$416.87 / $602.56 / $870.96
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$165.96 / $1,047.13 / $1,288.25
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$177.83 / $199.53 / $1,071.52
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$91.20 / $141.25 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$131.83 / $131.83 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$218.78 / $263.03 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $81.28