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Oklahoma rates for RC 0404

Other Imaging Services - Positron Emission Tomography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,554.00 / $2,934.00 / $2,934.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,873.04 / $1,997.91 / $2,006.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,334.00 / $3,334.00 / $4,362.00