go back

Oklahoma rates for HCPCS 73222

Mri Any Jt Upper Extremity W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.80 / $116.52 / $129.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $345.88 / $554.62
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.50 / $81.67 / $140.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.50 / $264.20 / $424.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.56 / $465.56 / $465.56
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.23 / $96.57 / $121.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $329.70 / $452.73
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.19 / $74.19 / $119.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.70 / $428.19 / $666.89
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.66 / $76.75 / $129.26
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.03 / $344.02 / $550.00
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$558.79 / $723.52 / $723.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.64 / $445.63 / $3,348.15
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.03 / $88.15 / $586.14
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$250.23 / $423.33 / $2,941.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.08 / $386.38 / $734.92
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.03 / $83.61 / $147.60
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$250.23 / $302.23 / $605.01