go back

Oklahoma rates for HCPCS 78140

Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.17 / $88.42 / $154.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.47 / $101.52 / $111.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,658.29 / $1,658.29 / $1,658.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $57.72 / $142.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.22 / $85.22 / $341.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.69 / $120.12 / $186.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.30 / $168.15 / $1,382.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.86 / $132.40 / $268.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.86 / $132.40 / $226.01