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Iowa 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
$94.34 / $204.09 / $527.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.00 / $475.00 / $1,307.79
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.00 / $128.00 / $322.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$304.92 / $335.00 / $648.29
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$322.83 / $332.51 / $342.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.04 / $1,010.92 / $1,683.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.69 / $231.93 / $317.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$458.16 / $776.38 / $1,419.58
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.35 / $611.79 / $2,420.73
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.22 / $155.52 / $422.21
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$266.14 / $498.61 / $2,048.31
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$745.12 / $953.92 / $953.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.64 / $892.74 / $5,981.06
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.10 / $175.54 / $672.78
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$409.45 / $658.54 / $5,438.76
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$332.51 / $342.20 / $565.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.71 / $1,010.92 / $1,557.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.34 / $386.74 / $726.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.01 / $781.15 / $1,389.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.31 / $153.60 / $313.24
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$376.78 / $597.12 / $1,069.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.99 / $925.30 / $1,088.59
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$179.41 / $227.10 / $267.10
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$551.66 / $698.30 / $821.50