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Idaho rates for HCPCS 73218

Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$92.68 / $244.02 / $244.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.58 / $518.50 / $875.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.00 / $140.00 / $205.06
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$280.17 / $348.53 / $670.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.72 / $299.22 / $692.56
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.66 / $59.98 / $121.80
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$214.06 / $239.24 / $577.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.51 / $1,385.51 / $1,838.01
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$283.19 / $283.19 / $517.83
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$867.68 / $867.68 / $1,554.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.88 / $562.95 / $742.41
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.94 / $117.38 / $137.15
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$386.94 / $445.57 / $520.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $115.54 / $475.56
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$446.45 / $446.45 / $446.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.57 / $641.85 / $742.41
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.21 / $130.84 / $157.32
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$434.36 / $511.01 / $585.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.61 / $406.21 / $856.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.84 / $72.95 / $137.76
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.71 / $350.37 / $702.38