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Oklahoma rates for HCPCS R0075

Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $140.00 / $140.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.09 / $187.98 / $201.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $43.00 / $43.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.29 / $182.29 / $182.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.28 / $140.00 / $200.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.88 / $228.22 / $1,215.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.58 / $217.35 / $421.66