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Oklahoma rates for HCPCS 94772

Circadian Respiratry Pattern Rec 12-24 Hr Infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.93 / $262.93 / $262.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.50 / $267.29 / $326.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.07 / $165.07 / $1,926.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.99 / $348.08 / $461.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.49 / $268.41 / $658.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.72 / $322.63 / $594.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.26 / $308.41 / $475.51