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Oklahoma rates for HCPCS 75803

Lymphangiography, extremity only, bilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,049.08 / $1,049.08 / $1,049.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.95 / $1,400.77 / $1,427.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.39 / $128.26 / $428.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.73 / $224.39 / $469.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.80 / $238.09 / $377.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.04 / $935.18 / $1,195.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.12 / $1,352.64 / $2,468.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.08 / $1,215.08 / $1,215.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.12 / $1,437.18 / $2,262.32