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Oklahoma rates for HCPCS 76641

Us Breast Uni Real Time With Image Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.10 / $43.80 / $54.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.84 / $84.42 / $119.55
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.76 / $28.89 / $41.47
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$100.00 / $100.00 / $100.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.09 / $55.99 / $78.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.40 / $102.40 / $102.40
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.29 / $38.29 / $55.58
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$126.19 / $126.19 / $126.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.38 / $99.05 / $136.01
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.69 / $55.69 / $55.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.61 / $94.57 / $146.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.87 / $34.11 / $52.64
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.74 / $60.44 / $96.40
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.13 / $157.44 / $157.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.82 / $122.76 / $667.61
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.69 / $43.78 / $219.03
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.05 / $82.59 / $448.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.64 / $114.44 / $201.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.59 / $39.83 / $61.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.25 / $75.41 / $110.56