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Oklahoma rates for HCPCS 77048

Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$79.43 / $79.43 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $354.81 / $524.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $295.12 / $478.63
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$158.49 / $158.49 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $380.19 / $616.60
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$724.44 / $933.25 / $933.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $2,290.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $977.24