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Arizona rates for HCPCS 73220

Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$142.81 / $282.74 / $412.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.32 / $475.00 / $992.18
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.71 / $140.00 / $291.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$280.81 / $348.53 / $710.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.30 / $361.68 / $1,355.29
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.61 / $79.19 / $189.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.97 / $475.39 / $594.24
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.06 / $101.78 / $127.23
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$326.91 / $373.61 / $467.01
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$116.52 / $116.52 / $116.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.91 / $792.37 / $1,293.70
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.22 / $126.95 / $217.86
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$271.79 / $617.95 / $1,038.91
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$953.92 / $953.92 / $953.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.52 / $748.98 / $5,981.06
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.61 / $104.84 / $672.78
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$320.26 / $630.91 / $5,438.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.52 / $583.79 / $1,036.22
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.61 / $93.43 / $199.55
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$320.26 / $481.13 / $830.64