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West Virginia 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
$65.76 / $72.33 / $104.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.44 / $400.00 / $522.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.76 / $135.44 / $154.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$205.88 / $335.00 / $368.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.30 / $339.41 / $609.32
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$73.64 / $73.64 / $73.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.25 / $578.16 / $2,045.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.99 / $94.02 / $304.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$207.18 / $466.13 / $1,558.11
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.09 / $139.47 / $171.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.73 / $511.88 / $957.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.29 / $81.48 / $157.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$209.72 / $434.71 / $838.89