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Oklahoma rates for HCPCS 71275

Ct Angiography Chest W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$88.17 / $113.36 / $131.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $313.64 / $392.89
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.30 / $91.57 / $115.92
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.70 / $210.15 / $309.93
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.19 / $82.78 / $108.31
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$319.42 / $319.42 / $319.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.10 / $279.64 / $384.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$88.69 / $88.69 / $141.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.98 / $368.47 / $598.16
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.22 / $88.29 / $143.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$164.75 / $288.58 / $468.26
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$627.76 / $804.96 / $804.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.13 / $390.96 / $3,183.14
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.59 / $102.42 / $1,009.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$182.94 / $322.08 / $2,699.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.82 / $338.62 / $602.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.59 / $93.11 / $146.41
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$182.52 / $246.94 / $421.94