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Oklahoma rates for HCPCS C8903

Magnetic resonance imaging with contrast, breast; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.75 / $931.00 / $2,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.07 / $318.75 / $318.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.06 / $175.06 / $175.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.83 / $318.75 / $425.00