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Oklahoma rates for HCPCS 72255

Myelography Thoracic Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.68 / $91.16 / $151.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $100.89 / $119.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $93.36 / $150.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.91 / $247.72 / $632.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.83 / $116.26 / $196.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.16 / $148.94 / $500.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.86 / $143.47 / $1,186.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.10 / $115.13 / $196.75