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Oklahoma rates for HCPCS 73220

Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.86 / $155.77 / $169.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $454.11 / $726.45
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.50 / $108.07 / $170.31
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.50 / $346.04 / $556.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.98 / $611.98 / $611.98
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.00 / $76.14 / $128.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.20 / $431.55 / $592.58
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.82 / $98.82 / $158.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.80 / $584.27 / $925.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.24 / $100.69 / $169.59
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$259.43 / $481.38 / $789.69
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$745.12 / $953.92 / $953.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.89 / $583.79 / $5,981.06
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.61 / $115.85 / $672.78
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$327.80 / $594.04 / $5,438.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.25 / $507.72 / $1,048.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.61 / $109.71 / $205.01
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$327.80 / $408.86 / $854.50