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Oklahoma rates for HCPCS 76497

Unlisted Computed Tomography Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.00 / $500.00 / $2,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.66 / $117.23 / $171.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.01 / $549.22 / $795.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.21 / $88.21 / $88.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.46 / $94.40 / $172.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.23 / $125.87 / $770.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.21 / $140.66 / $661.49