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Oklahoma rates for HCPCS 76885

Us Inft Hips R-T Img Dynamic Req Phys/Qhp Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.33 / $194.90 / $287.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.25 / $88.33 / $116.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.92 / $246.40 / $356.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.79 / $132.30 / $181.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.07 / $100.86 / $132.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.51 / $125.89 / $193.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.33 / $128.93 / $262.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.67 / $147.88 / $740.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.08 / $630.08 / $630.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.31 / $141.05 / $218.73