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Oklahoma rates for HCPCS 61613

Obltrj Carotid Arysm Artven Carotid Fistula Dsj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,901.50 / $2,901.50 / $2,932.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,295.60 / $4,186.35 / $5,018.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.00 / $3,191.65 / $5,991.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,977.88 / $4,142.85 / $23,209.12
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
$2,843.92 / $3,682.80 / $5,517.32