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New Hampshire 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 $195 · 10th–90th $129$3980%20%10th90th$195Professionalmedian $372 · 10th–90th $123$9550%5%10th90th$372$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
$128.82 / $194.98 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $478.63 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $154.88 / $323.59
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $380.19 / $794.33
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $125.89 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $954.99 / $1,380.38
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $234.42 / $331.13
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $724.44 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $912.01 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $181.97 / $309.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$380.19 / $707.95 / $1,621.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $741.31 / $1,148.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $177.83 / $275.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $562.34 / $870.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $831.76 / $1,479.11
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $162.18 / $323.59
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$371.54 / $602.56 / $1,096.48
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$75.86 / $83.18 / $100.00