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Oklahoma rates for HCPCS 31622

Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $3,249.24 / $8,400.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$74.20 / $74.20 / $137.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.86 / $270.68 / $275.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.71 / $144.71 / $144.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,652.24 / $4,192.02 / $6,674.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.76 / $256.58 / $350.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.53 / $220.05 / $378.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.15 / $326.13 / $3,486.78
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$472.30 / $472.30 / $472.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.79 / $395.92 / $1,853.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $1,928.00 / $3,790.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.36 / $310.83 / $436.32