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Oklahoma rates for HCPCS 70554

Mri Brain Functional W/O Physician Admnistration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.50 / $111.47 / $564.10
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.74 / $97.74 / $139.31
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$295.85 / $455.64 / $455.64