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Illinois rates for HCPCS 73218

Mri Upper Extremity Oth Than Jt W/O Contr Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.28 / $105.92 / $160.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.99 / $475.00 / $875.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.28 / $119.21 / $306.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$242.77 / $335.00 / $499.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.82 / $289.63 / $392.78
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.62 / $61.09 / $91.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.64 / $351.84 / $674.47
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.95 / $82.95 / $82.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.31 / $467.12 / $766.34
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.80 / $88.82 / $135.91
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$237.91 / $373.35 / $667.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.15 / $534.29 / $1,936.64
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.33 / $109.98 / $436.97
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$273.27 / $428.66 / $1,570.77
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.06 / $368.69 / $396.90
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.73 / $79.43 / $83.77
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$278.63 / $290.97 / $313.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $85.54 / $415.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.69 / $522.70 / $783.37
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.37 / $86.10 / $131.52
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$285.57 / $421.35 / $659.69