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Oklahoma rates for HCPCS 76831

Saline infusion sonohysterography (SIS), including color flow Doppler, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.07 / $33.97 / $195.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.94 / $98.63 / $139.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.95 / $93.95 / $93.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $112.35 / $154.27
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.01 / $32.01 / $53.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.75 / $104.85 / $164.39
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.20 / $154.38 / $154.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.60 / $127.32 / $756.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.07 / $125.48 / $181.47