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Oklahoma rates for HCPCS 72147

Mri Spinal Canal Thoracic W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$88.46 / $121.42 / $140.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $301.20 / $478.26
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.50 / $90.21 / $141.22
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.09 / $70.09 / $70.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.70 / $283.14 / $388.81
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$88.40 / $88.40 / $141.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.13 / $403.64 / $649.12
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.94 / $88.29 / $142.19
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
$276.93 / $390.51 / $3,480.43
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.27 / $100.44 / $701.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.65 / $323.63 / $648.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.61 / $91.31 / $170.52