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Oklahoma rates for HCPCS 76604

Us Chest Real Time W/Image Documentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.38 / $29.63 / $40.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.80 / $49.43 / $96.97
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.11 / $23.46 / $38.74
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$22.40 / $24.24 / $29.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.69 / $25.85 / $69.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.16 / $57.16 / $57.16
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.28 / $20.28 / $34.22
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$57.96 / $57.96 / $57.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.25 / $62.65 / $86.03
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.10 / $25.10 / $40.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.04 / $71.45 / $107.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.50 / $26.27 / $40.24
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.71 / $45.07 / $68.78
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.51 / $122.62 / $122.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.16 / $92.55 / $447.95
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.75 / $30.49 / $265.83
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.27 / $64.19 / $398.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.41 / $88.73 / $120.72
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.56 / $29.14 / $52.67
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.02 / $57.84 / $83.15