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Ohio 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
$106.27 / $148.77 / $352.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.00 / $475.00 / $959.30
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.64 / $140.00 / $239.10
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.41 / $335.00 / $741.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.08 / $317.14 / $393.13
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.23 / $125.50 / $163.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.45 / $447.72 / $727.54
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.45 / $109.26 / $201.14
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$260.00 / $343.20 / $539.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.19 / $304.22 / $410.41
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$105.09 / $116.52 / $116.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.67 / $664.66 / $1,339.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.57 / $137.65 / $230.45
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$303.31 / $513.09 / $1,083.94
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$105.09 / $105.09 / $116.52
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.29 / $652.16 / $1,426.37
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.29 / $143.19 / $268.16
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$304.22 / $481.38 / $1,012.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.87 / $313.01 / $515.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.66 / $599.66 / $1,083.28
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.25 / $121.12 / $212.26
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$317.30 / $438.23 / $845.74