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Oklahoma rates for HCPCS 96004

Review and interpretation by physician or other qualified health care professional of comprehensive computer-based motion analysis, dynamic plantar pressure measurements, dynamic surface electromyography during walking or other functional activities, and dynamic fine wire electromyography, with written report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.70 / $102.70 / $102.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.75 / $104.84 / $115.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.80 / $144.94 / $148.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.29 / $146.66 / $183.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.50 / $119.81 / $174.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.39 / $133.44 / $686.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.39 / $122.78 / $203.81