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Oklahoma rates for HCPCS 38200

Injection Procedure Splenoportograpy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.00 / $2,876.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.62 / $126.52 / $157.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.95 / $166.95 / $196.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.36 / $185.86 / $239.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.58 / $197.10 / $1,541.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.05 / $165.04 / $1,870.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $145.31 / $226.75