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Oklahoma rates for HCPCS 73223

Magnetic resonance (eg, proton) imaging, any joint of upper extremity; 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 / $146.22 / $169.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $428.90 / $686.58
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.50 / $108.42 / $170.31
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.50 / $320.49 / $516.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.50 / $430.50 / $577.04
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$161.33 / $161.33 / $168.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.20 / $407.40 / $559.41
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.53 / $98.53 / $158.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.63 / $552.22 / $920.97
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.98 / $100.69 / $169.59
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.25 / $452.44 / $751.26
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$745.12 / $957.12 / $957.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.05 / $556.58 / $5,981.06
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.29 / $112.64 / $894.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$303.93 / $561.98 / $5,438.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.20 / $468.15 / $971.67
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.29 / $109.71 / $195.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$303.93 / $380.32 / $792.90