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Oklahoma rates for HCPCS 38200

Injection procedure for splenoportography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,454.71 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $125.89 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $181.97 / $251.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $213.80 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $165.96 / $1,862.09
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
$117.49 / $147.91 / $229.09