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Massachusetts 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
$102.33 / $169.82 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $524.81 / $2,691.53
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $199.53 / $537.03
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.84 / $436.52 / $1,174.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$239.88 / $933.25 / $933.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $870.96 / $6,165.95
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $141.25 / $676.08
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$380.19 / $741.31 / $5,623.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,479.11 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.49 / $199.53 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $812.83 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $147.91 / $302.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$338.84 / $676.08 / $1,174.90
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $478.63 / $933.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $724.44 / $1,230.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $154.88 / $269.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$363.08 / $524.81 / $933.25
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $169.82 / $223.87
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$239.88 / $933.25 / $933.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $870.96 / $6,165.95
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $141.25 / $676.08
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$380.19 / $691.83 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $831.76 / $1,548.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $141.25 / $302.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$371.54 / $616.60 / $1,230.27