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Oklahoma rates for HCPCS 72157

Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.52 / $166.35 / $198.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $475.00 / $561.29
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 / $335.00 / $380.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.67 / $235.67 / $235.67
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.13 / $90.16 / $136.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.85 / $333.20 / $457.53
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.09 / $118.09 / $189.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.39 / $523.13 / $978.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.28 / $117.43 / $185.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$180.05 / $364.24 / $728.04
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
$325.60 / $467.09 / $6,195.24
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
$223.56 / $440.33 / $5,551.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.11 / $407.75 / $981.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.83 / $117.29 / $219.10
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.41 / $269.99 / $852.30