go back

Nebraska 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

Facilitymedian $316 · 10th–90th $170$9550%20%10th90th$316Professionalmedian $302 · 10th–90th $102$1,0720%5%10th90th$302$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$169.82 / $316.23 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $467.74 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $186.21 / $323.59
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $398.11 / $1,096.48
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$190.55 / $204.17 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $776.25 / $831.76
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$177.83 / $190.55 / $204.17
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $575.44 / $741.31
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $977.24 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $218.78 / $295.12
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$398.11 / $741.31 / $1,202.26
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $977.24 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $204.17 / $676.08
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$407.38 / $758.58 / $5,495.41
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $933.25 / $1,412.54
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $223.87 / $346.74
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$602.56 / $707.95 / $1,071.52
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,348.96 / $1,862.09
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $208.93 / $346.74
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$691.83 / $1,071.52 / $1,659.59
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $316.23 / $691.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $891.25 / $1,412.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $199.53 / $263.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$407.38 / $676.08 / $912.01