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Oklahoma rates for HCPCS 75809

Shuntogram Indwelling Nonvascular Shunt Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.47 / $21.98 / $123.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.80 / $75.84 / $98.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $82.25 / $112.94
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.48 / $21.48 / $34.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.95 / $79.88 / $142.86
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.41 / $102.96 / $102.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.56 / $92.84 / $758.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.56 / $88.11 / $139.13