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Massachusetts 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
$75.34 / $107.85 / $224.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.71 / $425.81 / $600.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$180.00 / $556.32 / $700.72
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.15 / $688.28 / $3,450.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.15 / $718.38 / $1,190.61
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.94 / $382.22 / $667.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.83 / $827.41 / $1,074.35
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.00 / $115.00 / $115.00
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$556.32 / $700.72 / $700.72
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.14 / $688.28 / $3,450.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.26 / $566.07 / $982.72