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Oklahoma rates for HCPCS 71250

Computed tomography, thorax, diagnostic; without contrast material

Facilitymedian $72 · 10th–90th $55$2690%20%40%10th90th$72Professionalmedian $89 · 10th–90th $49$2450%10%10th90th$89$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$54.95 / $69.18 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $186.21 / $371.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $64.57 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $120.23 / $275.42
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $38.90 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $95.50 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $131.83 / $181.97
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$53.70 / $53.70 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $208.93 / $331.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $56.23 / $93.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $154.88 / $245.47
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$371.54 / $478.63 / $478.63
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $199.53 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $63.10 / $398.11
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $151.36 / $1,380.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $165.96 / $331.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $58.88 / $112.20
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $112.20 / $239.88