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Rhode Island rates for HCPCS 73220

Mri Upper Extrem Other Than Jt W/O & W/Contras

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$649.52 / $649.52 / $649.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.00 / $600.00 / $745.15
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.95 / $142.62 / $357.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.00 / $420.00 / $589.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.47 / $602.90 / $1,149.07
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.31 / $146.15 / $201.43
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$319.73 / $456.75 / $527.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.56 / $871.24 / $1,176.16
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.07 / $195.07 / $217.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$321.60 / $665.74 / $956.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.54 / $699.97 / $1,144.28
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.17 / $124.93 / $194.93
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$376.78 / $600.99 / $961.64