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Kentucky 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
$99.18 / $132.01 / $194.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.57 / $475.00 / $1,073.64
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.18 / $140.00 / $322.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$291.39 / $335.00 / $887.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.08 / $299.08 / $325.24
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.23 / $111.69 / $119.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.63 / $522.11 / $726.20
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.80 / $115.23 / $163.65
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$293.76 / $403.43 / $597.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.30 / $152.35 / $539.54
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
$489.73 / $890.69 / $1,608.60
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.96 / $151.87 / $243.65
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$368.90 / $758.44 / $1,432.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $380.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.75 / $626.69 / $1,026.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.75 / $115.54 / $153.60
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$332.45 / $570.80 / $872.21