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Oklahoma rates for HCPCS 72156

Mri Spinal Canal Cervical W/O & W/Contr Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.52 / $155.34 / $198.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $425.00 / $560.74
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.50 / $136.90 / $181.06
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.50 / $261.75 / $379.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.60 / $117.60 / $483.62
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.13 / $83.58 / $136.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.85 / $332.50 / $456.57
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.80 / $117.80 / $189.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.85 / $544.45 / $989.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.34 / $117.80 / $185.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$179.49 / $364.29 / $772.55
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$794.00 / $1,016.96 / $1,016.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.97 / $501.75 / $6,199.75
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.04 / $129.02 / $931.20
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$222.93 / $439.10 / $5,551.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.97 / $410.88 / $1,094.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.04 / $117.29 / $219.09
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$222.93 / $263.93 / $883.73