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Oklahoma rates for HCPCS 73720

Magnetic resonance (eg, proton) imaging, lower 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
$98.57 / $146.22 / $168.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $425.00 / $594.66
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.50 / $110.00 / $168.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.50 / $335.00 / $424.91
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.14 / $95.18 / $161.33
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$240.02 / $240.02 / $449.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.31 / $352.45 / $483.96
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.82 / $98.82 / $158.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.51 / $566.67 / $917.02
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.98 / $100.39 / $169.08
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.14 / $406.71 / $789.31
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$745.12 / $950.80 / $950.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.75 / $515.14 / $5,978.92
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.29 / $115.47 / $733.09
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$249.61 / $491.67 / $5,438.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.75 / $455.70 / $1,048.63
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.29 / $109.35 / $209.51
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$249.61 / $344.29 / $870.06