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Oklahoma rates for HCPCS 76857

Us Pelvic Nonobstetric Image Dcmtn Limited/F/U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.76 / $20.76 / $35.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $39.88 / $82.34
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.01 / $18.88 / $30.64
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.00 / $19.91 / $64.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.93 / $41.27 / $73.12
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.39 / $18.03 / $29.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.45 / $45.15 / $62.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.82 / $17.82 / $27.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.79 / $63.78 / $94.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.56 / $21.01 / $33.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.55 / $33.46 / $72.33
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.69 / $115.00 / $115.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.50 / $72.23 / $575.66
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.01 / $26.44 / $232.81
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.03 / $46.04 / $398.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.02 / $59.33 / $107.14
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.01 / $25.26 / $37.79
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.07 / $25.39 / $87.13