go back

Oklahoma rates for HCPCS 78201

Liver Imaging Static Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.43 / $19.76 / $112.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.76 / $162.27 / $182.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.30 / $174.65 / $239.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.76 / $164.13 / $225.24
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.93 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.06 / $187.20 / $442.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.06 / $168.30 / $295.58