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Oklahoma rates for HCPCS 50391

Instlj Ther Agent Renal Pelvis&/Ureter Via Tub

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,876.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.18 / $140.15 / $142.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.30 / $151.44 / $192.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.18 / $159.77 / $1,470.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.31 / $180.90 / $933.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.22 / $607.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.34 / $140.93 / $216.16