go back

Indiana rates for HCPCS 73219

Mri Upper Extremity Oth Than Jt W/Contr Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.12 / $78.12 / $120.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.05 / $367.50 / $487.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.88 / $410.01 / $582.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.54 / $276.85 / $407.43
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.95 / $87.95 / $87.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.60 / $637.29 / $942.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.40 / $489.73 / $837.02