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Oklahoma rates for HCPCS 50690

Njx Visualization Ileal Conduit&/Ureteropyelog

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,536.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.70 / $81.03 / $122.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.90 / $581.61 / $842.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.50 / $108.85 / $149.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.13 / $87.13 / $102.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.17 / $108.65 / $164.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.52 / $134.76 / $1,055.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.23 / $133.77 / $3,576.94
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
$94.79 / $114.87 / $196.05