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Oklahoma rates for HCPCS 0623T

Auto Quan&Charac Coronary Atherosclerotic Plaque

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.72 / $142.69 / $194.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.72 / $129.72 / $129.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.72 / $136.21 / $5,622.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.08 / $200.76 / $6,299.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.78 / $181.14 / $302.25