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Oklahoma rates for HCPCS P9604

Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Trip Charge. (Special Coverage Instructions Apply. See Mcm: 51141k)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.58 / $7.58 / $7.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $10.40 / $11.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $1.67 / $3.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $8.52 / $8.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $8.55 / $30.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $10.30 / $13.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $10.30 / $18.47