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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
$125.89 / $169.82 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $478.63 / $776.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $154.88 / $281.84
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.93 / $338.84 / $537.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $251.19 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $107.15 / $181.97
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.49 / $117.49 / $316.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $331.13 / $457.09
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.49 / $117.49 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $562.34 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $123.03 / $213.80
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.17 / $416.87 / $794.33
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$794.33 / $1,023.29 / $1,023.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $128.82 / $933.25
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $436.52 / $5,495.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $407.38 / $1,122.02
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $117.49 / $181.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.78 / $269.15 / $977.24