go back

Oklahoma rates for HCPCS 76815

Us Pregnant Uterus Limited 1/> Fetuses

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.25 / $35.45 / $48.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.29 / $68.52 / $100.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.78 / $25.79 / $37.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.51 / $42.72 / $63.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.11 / $84.89 / $131.94
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.98 / $29.42 / $52.23
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.70 / $79.70 / $79.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.83 / $78.75 / $108.14
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.32 / $29.32 / $48.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.67 / $76.19 / $125.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.46 / $30.47 / $46.61
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.05 / $46.28 / $75.70
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.90 / $139.28 / $139.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.98 / $100.06 / $524.64
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.88 / $35.20 / $195.35
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.53 / $66.29 / $329.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.70 / $90.06 / $129.60
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.22 / $33.77 / $50.56
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.48 / $54.95 / $83.89