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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
$80.56 / $80.56 / $80.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.65 / $320.95 / $475.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.75 / $350.70 / $481.56
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$158.88 / $158.88 / $158.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.51 / $349.97 / $567.00
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$728.08 / $931.68 / $931.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.29 / $471.78 / $2,291.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.18 / $473.35 / $849.18