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Oklahoma rates for HCPCS 75805

Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,120.13 / $2,120.13 / $2,120.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,754.16 / $2,781.70 / $2,847.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.78 / $241.08 / $349.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.15 / $329.59 / $361.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.04 / $228.42 / $529.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.66 / $242.37 / $375.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.54 / $935.18 / $2,416.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.49 / $1,338.20 / $4,824.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.08 / $2,395.17 / $2,395.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.49 / $1,455.29 / $2,699.16