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Oklahoma rates for HCPCS 74355

Percutaneous Placement Enteroclysis Tube Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.03 / $102.03 / $102.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.79 / $111.92 / $150.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.09 / $211.62 / $227.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.86 / $125.57 / $181.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.62 / $107.13 / $225.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.42 / $149.49 / $854.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.29 / $146.15 / $195.72