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Delaware 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
$102.83 / $133.49 / $323.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $475.00 / $700.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.82 / $140.00 / $157.90
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$299.00 / $335.00 / $542.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.51 / $797.02 / $1,265.60
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.93 / $110.78 / $190.57
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$307.82 / $614.17 / $1,131.43
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.06 / $416.06 / $416.06
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.98 / $102.98 / $128.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $976.78 / $1,289.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.80 / $121.49 / $239.79
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$314.45 / $525.24 / $1,168.48