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Oklahoma rates for HCPCS 01922

Anes Non-Invasive Imaging/Radiation Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $420.00 / $480.00
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$436.00 / $444.00 / $532.00
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$238.00 / $250.00 / $316.00
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$242.00 / $242.00 / $242.00
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$924.00 / $924.00 / $1,659.00
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$177.30 / $180.45 / $216.70
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$128.05 / $128.05 / $128.05
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$128.05 / $128.05 / $128.05
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$236.40 / $265.95 / $319.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $42.00