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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
$316.23 / $794.33 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $316.23 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $316.23 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $263.03 / $426.58