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Oklahoma rates for HCPCS 73221

Mri Any Jt Upper Extremity W/O Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.28 / $98.38 / $117.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.73 / $313.02 / $475.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.50 / $98.38 / $140.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$104.87 / $125.00 / $176.68
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$142.55 / $214.63 / $335.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.63 / $206.08 / $307.23
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.72 / $59.66 / $101.35
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$142.82 / $160.63 / $253.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.75 / $207.55 / $285.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.82 / $61.82 / $99.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.89 / $339.79 / $592.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.19 / $64.45 / $108.57
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$118.62 / $241.69 / $498.64
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$466.08 / $603.28 / $603.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.15 / $286.70 / $2,789.74
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.76 / $71.16 / $542.85
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.91 / $279.54 / $2,451.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.15 / $256.50 / $612.32
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.76 / $70.37 / $133.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.91 / $173.57 / $498.96