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Michigan rates for HCPCS 73219

Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.84 / $98.84 / $98.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $425.81 / $510.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.08 / $534.44 / $1,198.74
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
$369.70 / $616.20 / $998.10
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.67 / $63.67 / $98.84
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.71 / $425.81 / $635.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.51 / $256.90 / $384.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.98 / $478.24 / $776.92