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Oklahoma rates for HCPCS 75872

Venography, epidural, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.06 / $99.68 / $183.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.59 / $120.45 / $129.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.90 / $237.76 / $1,092.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.93 / $195.10 / $460.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.68 / $201.05 / $930.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.65 / $180.50 / $3,555.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.79 / $157.61 / $390.75