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Oklahoma rates for HCPCS 73722

Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$75.34 / $107.86 / $129.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $377.00 / $555.73
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 / $270.04 / $425.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.97 / $467.97 / $467.97
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$121.56 / $121.56 / $128.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $330.40 / $453.69
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.48 / $74.48 / $119.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.08 / $432.48 / $681.73
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.12 / $76.75 / $129.26
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.41 / $348.81 / $564.00
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$558.79 / $720.40 / $720.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.95 / $446.50 / $3,348.15
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.03 / $88.15 / $597.70
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$250.86 / $423.89 / $2,941.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.70 / $391.87 / $736.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.03 / $83.73 / $135.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$250.86 / $302.98 / $570.64