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Oklahoma rates for HCPCS 70552

Mri Brain Brain Stem W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.24 / $121.42 / $140.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $299.02 / $475.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.50 / $90.21 / $141.22
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$125.00 / $149.52 / $236.09
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.50 / $208.82 / $335.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.81 / $133.21 / $140.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.31 / $278.25 / $382.08
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.93 / $81.93 / $131.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.74 / $441.79 / $702.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.34 / $83.75 / $141.06
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.46 / $315.13 / $581.99
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$612.55 / $789.76 / $789.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.85 / $414.40 / $3,445.62
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.80 / $96.41 / $672.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$193.41 / $380.97 / $2,996.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.85 / $360.66 / $683.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.80 / $91.31 / $173.32
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$193.41 / $240.09 / $593.26