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Oklahoma rates for RC 0790

Lithotripsy - General Classification

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,428.99 / $4,428.99 / $6,528.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,460.00 / $10,460.00 / $10,460.00