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Oklahoma rates for HCPCS Q2004

Bladder Calculi Irrig Sol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.36 / $98.36 / $195.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.36 / $98.36 / $98.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $11.82 / $11.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.52 / $106.25 / $734.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.19 / $101.19 / $101.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.19 / $101.19 / $103.21