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Oklahoma rates for HCPCS 77046

Mri Breast Without Contrast Material Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.92 / $55.92 / $55.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.35 / $203.59 / $226.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.59 / $220.85 / $303.26
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$109.89 / $109.89 / $109.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.05 / $220.91 / $362.46
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$495.28 / $641.60 / $641.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.67 / $298.82 / $1,445.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.65 / $298.82 / $827.80