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Oklahoma rates for HCPCS 78215

Liver and spleen imaging; static only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.60 / $22.37 / $125.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.02 / $167.27 / $187.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $179.55 / $246.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.57 / $171.14 / $234.85
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.18 / $122.00 / $122.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.88 / $196.08 / $455.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.88 / $179.51 / $302.61