go back

Oklahoma rates for HCPCS 39503

Rpr Neonatal Diphrg Hernia W/Wo Chest Tube Insj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $3,909.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,565.58 / $5,565.58 / $5,565.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,135.61 / $7,711.23 / $10,911.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,074.79 / $8,055.81 / $9,438.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $5,833.89 / $9,279.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,438.13 / $7,264.71 / $41,111.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,208.66 / $6,579.36 / $10,313.69