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Oklahoma rates for HCPCS 75801

Lymphangiography, extremity only, unilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.43 / $41.37 / $235.19
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.75 / $36.75 / $60.89
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.62 / $193.75 / $193.75