go back

Rhode Island 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
$524.81 / $524.81 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $575.44 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $208.93 / $426.58
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.04 / $467.74 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $602.56 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $131.83 / $213.80
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$316.23 / $446.68 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $870.96 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $190.55 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.59 / $660.69 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $707.95 / $1,148.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $123.03 / $199.53
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$371.54 / $537.03 / $954.99