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Oklahoma rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $501.19 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $117.49 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $602.56 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $123.03 / $234.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $147.91 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $141.25 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $131.83 / $213.80