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Oklahoma rates for HCPCS 74355

Percutaneous placement of enteroclysis tube, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $120.23 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $213.80 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $125.89 / $213.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $112.20 / $190.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $147.91 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $141.25 / $186.21