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Oklahoma rates for HCPCS Q9954

Oral magnetic resonance contrast agent, per 100 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $10.68 / $18.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $10.68 / $15.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $7.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $11.75 / $134.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.57 / $12.57 / $18.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.57 / $12.57 / $13.86