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Oklahoma rates for HCPCS 42550

Injection procedure for sialography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $123.03 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $630.96 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $141.25 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $109.65 / $251.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $186.21 / $1,548.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $190.55 / $2,951.21
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
$60.26 / $123.03 / $213.80